Individual provider Active NPI

Kandasami Senthilkumar, M.D.

  • Neurology Physician
  • Beaumont, TX
National Provider Identifier
1811990369
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L1740 Issued in TX
Practice address
740 Hospital Dr Ste 100
Beaumont, TX 77701-4663
Phone
(409) 838-4338
NPI assigned
May 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L1740 TX Primary

Addresses

Primary practice location

740 Hospital Dr Ste 100
Beaumont, TX 77701-4663

Mailing address

PO Box 12685
Beaumont, TX 77726-2685
Phone (409) 838-4338

Other identifiers 1

IdentifierTypeStateIssuer
144156001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080916000388 TX Practitioner - Neurology 2567447972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kandasami Senthilkumar, MD PAGroup PAC ID 5991872053, 2 clinicians

Practice addresses (Care Compare)

740 Hospital Dr
Beaumont, TX 77701-4663
Phone (409) 838-4338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kandasami Senthilkumar, MD PA Neurology CurrentSince Jan 1, 2008 Accepting new patients

Locations

2929 Calder St
Ste 204
Beaumont, TX 77702
Phone (409) 835-1333

740 Hospital Dr
Ste 100
Beaumont, TX 77701
Phone (409) 832-4231

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHGAAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1811990369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12685",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777262685",
            "telephone_number": "409-838-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR STE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014663",
            "telephone_number": "409-838-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENTHILKUMAR",
        "first_name": "KANDASAMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-28",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L1740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144156001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.