PIYALI SEN MD
NPI 1215021522
Internal Medicine in Jamaica, NY

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
99.95/100
CMS Quality Rating
9016 SUTPHIN BLVD, JAMAICA, NY 11435(718) 523-5500(718) 658-8260 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Piyali Sen Md NPPES

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

PIYALI SEN MD (NPI 1215021522) is an individual internal medicine provider in Jamaica, New York, licensed in New York (218017) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Jamaica Hospital Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1215021522
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePIYALI SENCredential: MD
Location Address9016 SUTPHIN BLVDJamaica, NY 11435-3636
Mailing Address80 Marcus Dr, Provider EnrollmentMelville, NY 11747-4230 · (631) 391-7887 · Fax (631) 454-4163
Fax(718) 658-8260
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateOctober 3, 2006
Last NPPES UpdateFebruary 7, 2012
NPI 1215021522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 218017
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

9016 SUTPHIN BLVD, Jamaica, NY 11435

Other Names 1

Other Name (5)Piyali Ray-sen Md

Other Identifiers 3

Medicaid02166329NY
Medicare UPINH21252NY
Medicare OSCAR/certification0105KGNY

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

Piyali Sen Md 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 ID6305032749
PECOS Enrollment IDI20101124000008
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 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.
64 services33 patients

Hospital Affiliations CMS Care Compare

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

Jamaica Hospital Medical Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330014
Location89th Avenue And Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11435 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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.

99.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.18
Promoting Interoperability79
Improvement Activities40
Cost92.82

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
1 supplier21 claims52 services$6.21 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.

Pediatrics
9016 SUTPHIN BLVD
JAMAICA, NY 11435
Pediatrics
9016 SUTPHIN BLVD
JAMAICA, NY 11435
Family Medicine
9016 SUTPHIN BLVD
JAMAICA, NY 11435
Internal Medicine
9016 SUTPHIN BLVD
JAMAICA, NY 11435
Anesthesiology (Pain Medicine)
9016 SUTPHIN BLVD
JAMAICA, NY 11435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215021522, enumerated as an "individual" on October 03, 2006.

The provider is located at 9016 SUTPHIN BLVD JAMAICA, NY 11435 and the phone number is (718) 523-5500.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Piyali Sen is affiliated with: JAMAICA HOSPITAL MEDICAL CENTER.