DR. SEAN ENIS MD
NPI 1417104399
General Practice in Englewood, NJ

Active since August 22, 2008PECOS EnrolledAccepts Medicare Assignment
87.72/100
CMS Quality Rating
189 LYMAN PL, ENGLEWOOD, NJ 07631(917) 945-9568 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sean Enis Md NPPES

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

DR. SEAN ENIS MD (NPI 1417104399) is an individual general practice provider in Englewood, New Jersey, licensed in New Jersey (25MA8167000) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1417104399
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. SEAN ENISCredential: MD
Location Address189 LYMAN PLEnglewood, NJ 07631-3609
Mailing Address189 Lyman PlEnglewood, NJ 07631-3609 · (917) 945-9568
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 22, 2008
Last NPPES UpdateJanuary 30, 2017
NPI 1417104399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NJ · 25MA8167000
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 256649 (NY), 25MA08167000 (NJ)
189 LYMAN PL, Englewood, NJ 07631

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. Sean Enis 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 ID7416149646
PECOS Enrollment IDI20101006001033, I20101102001032
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 7

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
1,663 services1,662 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
1,656 services1,655 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
163 services163 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
143 services143 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
101 services99 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
75 services73 patients

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.

87.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Promoting Interoperability100
Improvement Activities40

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 Sean Enis's NPI number?

The NPI number for Sean Enis is 1417104399. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Where is Sean Enis located?

Sean Enis practices at 189 Lyman Pl, Englewood, NJ 07631. The listed phone number is (917) 945-9568.

What is Sean Enis's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Sean Enis enrolled in Medicare?

Yes. Sean Enis 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 Sean Enis accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sean Enis 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.

When was this NPI record last updated?

The NPPES record for Sean Enis was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.