SENA SUMATHISENA M.D.
NPI 1013951227
Internal Medicine - Cardiovascular Disease in Browns Mills, NJ

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
95.3/100
CMS Quality Rating
200 TRENTON RD, BROWNS MILLS, NJ 08015(609) 893-1200(609) 735-0175 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sena Sumathisena M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SENA SUMATHISENA M.D. (NPI 1013951227) is an individual cardiovascular disease provider in Browns Mills, New Jersey, licensed in New Jersey (25MA02688200) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Other (1966).

NPPES Registry Identity

NPI1013951227
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSENA SUMATHISENACredential: M.D.
Location Address200 TRENTON RDBrowns Mills, NJ 08015-1705
Mailing Address200 Trenton RdBrowns Mills, NJ 08015-1705 · (609) 893-1200 · Fax (609) 735-0175
Fax(609) 735-0175
Sole ProprietorNo
Medical School CMSOtherGraduated 1966
Enumeration DateJune 16, 2006
Last NPPES UpdateMay 12, 2015
NPI 1013951227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MA02688200
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

200 TRENTON RD, Browns Mills, NJ 08015

Other Names 1

Professional Name (2)Sena Sumathisena M.d.

Other Identifiers 3

Medicare UPINC63006NJ
Medicare ID-Type Unspecified105636BVPNJ
Medicaid0467502NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sena Sumathisena M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901091982
PECOS Enrollment IDI20101116000976
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
2,974 services1,806 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
362 services307 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
353 services296 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
81 services76 patients
Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248
This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.
77 services75 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
69 services64 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Deborah Heart And Lung Center

Acute Care Hospitals · Browns Mills, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310031
Location200 Trenton RoadBrowns Mills, NJ 08015 · Burlington County

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.47
Promoting Interoperability99
Improvement Activities40
Cost82.55

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
200 TRENTON RD
BROWNS MILLS, NJ 08015
General Acute Care Hospital
200 TRENTON RD
BROWNS MILLS, NJ 08015
Nurse Anesthetist, Certified Registered
200 TRENTON RD
BROWNS MILLS, NJ 08015
Internal Medicine (Interventional Cardiology)
200 TRENTON RD
BROWNS MILLS, NJ 08015
Internal Medicine (Pulmonary Disease)
200 TRENTON RD
BROWNS MILLS, NJ 08015
Specialist
200 TRENTON RD
BROWNS MILLS, NJ 08015
Specialist
200 TRENTON RD
BROWNS MILLS, NJ 08015
Internal Medicine (Cardiovascular Disease)
200 TRENTON RD
BROWNS MILLS, NJ 08015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sena Sumathisena's NPI number?

The NPI number for Sena Sumathisena is 1013951227. It was assigned to this individual provider in the NPPES registry on June 16, 2006. The provider is also known as Sena Sumathisena M.D..

Where is Sena Sumathisena located?

Sena Sumathisena practices at 200 Trenton Rd, Browns Mills, NJ 08015. The listed phone number is (609) 893-1200.

What is Sena Sumathisena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sena Sumathisena enrolled in Medicare?

Yes. Sena Sumathisena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sena Sumathisena affiliated with any hospitals?

According to CMS data, Sena Sumathisena is affiliated with West Jersey Hospital, Deborah Heart And Lung Center, Community Medical Center, Capital Health Medical Center - Hopewell and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Sena Sumathisena was last updated on May 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.