DR. SOMA SENGUPTA MD
NPI 1245415330
Psychiatry & Neurology - Neurology in Cincinnati, OH

Active since January 08, 2008PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
3113 BELLEVUE AVE FL 3, CINCINNATI, OH 45219(617) 667-7000 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2021, May 20, 2016 (2 updates tracked since 2016).

About Dr. Soma Sengupta Md NPPES

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

DR. SOMA SENGUPTA MD (NPI 1245415330) is an individual neurology provider in Cincinnati, Ohio, licensed in Massachusetts (235250) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1245415330
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SOMA SENGUPTACredential: MD
Location Address3113 BELLEVUE AVE FL 3Cincinnati, OH 45219-3158
Mailing Address3113 Bellevue Ave Fl 3Cincinnati, OH 45219-3158 · (513) 475-8730
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 8, 2008
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
NPI 1245415330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MA · 235250
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License P21917 (MD)
3113 BELLEVUE AVE FL 3, Cincinnati, OH 45219

Accepted Insurance

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

Dr. Soma Sengupta 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 ID6406009539
PECOS Enrollment IDI20130604000009, I20231011001238
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.

Hospital Affiliations CMS Care Compare

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

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Referred Medical Equipment & Supplies CMS DME claims 4

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

Electrical stimulation device used for cancer treatment, includes all accessories, any type E0766
DME-Other DME · category DE000N
1 supplier11 claims11 services$11,164.03 avg. paid by Medicare
Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
4 suppliers43 claims7,274 services$0.40 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers23 claims23 services$19.02 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers34 claims36 services$12.70 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 13

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

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3113 BELLEVUE AVE FL 3
CINCINNATI, OH 45219
Psychiatry & Neurology (Neurology)
3113 BELLEVUE AVE FL 3
CINCINNATI, OH 45219
Psychiatry & Neurology (Neurology)
3113 BELLEVUE AVE FL 3
CINCINNATI, OH 45219
Psychiatry & Neurology (Neurology)
3113 BELLEVUE AVE FL 3
CINCINNATI, OH 45219
Psychiatry & Neurology (Neurology)
3113 BELLEVUE AVE FL 3
CINCINNATI, OH 45219
Psychiatry & Neurology (Neurology)
3113 BELLEVUE AVE FL 3
CINCINNATI, OH 45219
Psychiatry & Neurology (Neurology)
3113 BELLEVUE AVE FL 3
CINCINNATI, OH 45219
Psychiatry & Neurology (Neurology)
3113 BELLEVUE AVE FL 3
CINCINNATI, OH 45219

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 Soma Sengupta's NPI number?

The NPI number for Soma Sengupta is 1245415330. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Where is Soma Sengupta located?

Soma Sengupta practices at 3113 Bellevue Ave Fl 3, Cincinnati, OH 45219. The listed phone number is (617) 667-7000.

What is Soma Sengupta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Soma Sengupta enrolled in Medicare?

Yes. Soma Sengupta 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.

What insurance does Soma Sengupta accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Health Insurance list Soma Sengupta 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 Soma Sengupta affiliated with any hospitals?

According to CMS data, Soma Sengupta is affiliated with Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Soma Sengupta was last updated on March 17, 2021. 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.