SUGATA SENSARMA M.D., MBBS
NPI 1083604748
Internal Medicine - Pulmonary Disease in Paducah, KY

Q: What is Sugata Sensarma's NPI number?

The NPI number for Sugata Sensarma is 1083604748. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Q: What is Sugata Sensarma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Sugata Sensarma was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment

1920 BROADWAY ST, PADUCAH, KY 42001(270) 442-3647 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2020, Dec 20, 2016 (2 updates tracked since 2016).

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About Sugata Sensarma M.d., Mbbs NPPES

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

SUGATA SENSARMA M.D., MBBS (NPI 1083604748) is an individual pulmonary disease provider in Paducah, Kentucky, licensed in Minnesota (47455) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Lourdes Hospital, and maintains a secondary practice location in Iowa City.

NPPES Registry Identity

NPI1083604748

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameSUGATA SENSARMACredential: M.D., MBBS

Location Address1920 BROADWAY STPaducah, KY 42001-7106

Mailing AddressPo Box 2027Iowa City, IA 52244-2027 · (319) 339-3855 · Fax (319) 358-2791

Phone(270) 442-3647

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateOctober 25, 2005

Last NPPES UpdateDecember 2, 20202 updates tracked since enumeration

NPPES CertifiedDecember 2, 2020

✔ NPI 1083604748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MN · 47455

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1920 BROADWAY ST, Paducah, KY 42001

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Secondary Practice Location 1

Location 1540 E Jefferson St Ste 301Iowa City, IA 52245-2460 · Phone (319) 688-7779 · Fax (319) 887-2879

Other Identifiers 8

Other6D053CEBlue Cross Blue Shield

Other1043621Preferred One

Other132821U Care

OtherHP50699Health Partners

Other2340115Araz Group Americas Ppo

Other081635300Medical Assistance

Other226G6SEBlue Cross Blue Shield

Other4800420Medica Health Plans

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sugata Sensarma M.d., Mbbs 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 ID7416985635

PECOS Enrollment IDI20170608002529

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.

Medicare Billing Reassignments

Medicare enrollment records show Sugata Sensarma reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc

0.5 mi

Family Medicine

2605 KENTUCKY AVE, SUITE 306
Paducah, KY 42003

Reassigned Medicare billing, Kentucky enrollment
967 clinicians in this Medicare group

NPI 1922401611 (270) 415-7653

Crittenden Community Hospital LLC

32 mi

Rural Health

21234 MARION RD
Fredonia, KY 42411

Reassigned Medicare billing, Kentucky enrollment
28 clinicians in this Medicare group

NPI 1841933496 (270) 545-2929

Select Specialty Hospital - Evansville, LLC

84 mi

Hospitalist

400 SE 4TH ST
Evansville, IN 47713

Reassigned Medicare billing, Indiana enrollment
15 clinicians in this Medicare group

NPI 1104194547 (717) 972-1100

Southeastern Physician Services PC

254 mi

Hospitalist

990 OAK RIDGE TPKE
Oak Ridge, TN 37830

Reassigned Medicare billing, Kentucky enrollment
358 clinicians in this Medicare group

NPI 1083835441 (865) 481-1000

Apogee Medical Group Indiana PC

344 mi

Internal Medicine

200 HIGH PARK AVE
Goshen, IN 46526

Reassigned Medicare billing, Indiana enrollment
172 clinicians in this Medicare group

NPI 1093973885 (574) 364-2510

Trinity Regional Medical Center

464 mi

End-Stage Renal Disease (ESRD) Treatment

1610 COLLINS ST, SUITE D
Webster City, IA 50595

Reassigned Medicare billing, Iowa enrollment
387 clinicians in this Medicare group

NPI 1568650174 (515) 832-1667

Memorial Community Hospital Corporation

498 mi

Rural Health

4929 COUNTY ROAD P43
Fort Calhoun, NE 68023

Reassigned Medicare billing, Nebraska enrollment
Also billed through NPI 1265408819 (Nebraska)
69 clinicians in this Medicare group

NPI 1417015207 (402) 468-4655

St. Joseph's Hospital And Health Center

992 mi

Surgery

45 8TH ST W
Dickinson, ND 58601

Reassigned Medicare billing, North Dakota enrollment
401 clinicians in this Medicare group

NPI 1073745279 (701) 456-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

739 services165 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.

325 services203 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

127 services119 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

83 services82 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

77 services77 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

62 services52 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

46 services46 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

38 services37 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

31 services26 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

29 services17 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

21 services21 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

20 services20 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

19 services19 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

17 services17 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180102

Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County

Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180104

Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County

Emergency services Birthing friendly

Memorial Community Hospital & Health System

Critical Access Hospitals · Blair, NE

OwnershipVoluntary non-profit - Private

CMS Certification Number281359

Location810 North 22nd StBlair, NE 68008 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42001 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers17 claims17 services$33.29 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers30 claims30 services$90.33 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

8 suppliers30 claims81 services$35.66 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

7 suppliers19 claims19 services$21.93 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers21 claims21 services$18.55 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

10 suppliers37 claims199 services$2.55 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

7 suppliers14 claims14 services$12.69 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

10 suppliers82 claims82 services$17.85 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

3 suppliers15 claims15 services$42.85 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

10 suppliers76 claims76 services$907.27 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier12 claims12 services$12.49 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers42 claims42 services$6.79 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers35 claims35 services$52.14 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

16 suppliers172 claims172 services$97.30 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers15 claims15 services$34.89 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

12 suppliers36 claims9,019 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers15 claims1,710 services$0.09 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

12 suppliers51 claims51 services$24.47 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

DR. KEITH EDWARD KELLY M.D.

Internal Medicine (Pulmonary Disease)

1920 BROADWAY ST
PADUCAH, KY 42001

McCracken County (270) 442-3647

WILLIAM H BEDWELL MD

Internal Medicine (Pulmonary Disease)

1920 BROADWAY ST
PADUCAH, KY 42001

McCracken County (270) 442-3647

MICHELE CARBONELL-SMITH APRN

Nurse Practitioner

1920 BROADWAY ST
PADUCAH, KY 42001

McCracken County (270) 442-3647

DR. JEFFREY SCOTT CLARKE MD

Internal Medicine (Pulmonary Disease)

1920 BROADWAY ST
PADUCAH, KY 42001

McCracken County (270) 442-3647

RESPIRATORY DISEASE CLINIC

Internal Medicine (Pulmonary Disease)

1920 BROADWAY ST
PADUCAH, KY 42001

McCracken County (270) 442-3647

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 Sugata Sensarma's NPI number?

The NPI number for Sugata Sensarma is 1083604748. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Sugata Sensarma located?

Sugata Sensarma practices at 1920 Broadway St, Paducah, KY 42001. The listed phone number is (270) 442-3647.

What is Sugata Sensarma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sugata Sensarma enrolled in Medicare?

Yes. Sugata Sensarma 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.

Which organizations bill Medicare for Sugata Sensarma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sugata Sensarma reassigns Medicare benefits to 8 organizations: Baptist Health Medical Group Inc (Paducah, KY), Crittenden Community Hospital LLC (Fredonia, KY), Select Specialty Hospital - Evansville, LLC (Evansville, IN), Southeastern Physician Services PC (Oak Ridge, TN), Apogee Medical Group Indiana PC (Goshen, IN) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sugata Sensarma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sugata Sensarma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Sugata Sensarma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sugata Sensarma affiliated with any hospitals?

According to CMS data, Sugata Sensarma is affiliated with Mercy Health - Lourdes Hospital, Baptist Health Paducah and Memorial Community Hospital & Health System.

When was this NPI record last updated?

The NPPES record for Sugata Sensarma was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.