DR. SOUNOK SEN MD
NPI 1417394677
Internal Medicine - Cardiovascular Disease in New Haven, CT

Active since May 29, 2013PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
789 HOWARD AVE, NEW HAVEN, CT 06519(203) 785-7960 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2020, May 21, 2020 (2 updates tracked since 2020).

About Dr. Sounok Sen Md NPPES

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

DR. SOUNOK SEN MD (NPI 1417394677) is an individual cardiovascular disease provider in New Haven, Connecticut, licensed in Connecticut (65449) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Durham, and is a graduate of Yale University School Of Medicine (2013).

NPPES Registry Identity

NPI1417394677
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SOUNOK SENCredential: MD
Location Address789 HOWARD AVENew Haven, CT 06519-1304
Mailing Address333 Cedar Street, Po Box 208017, Yale School Of MedicineNew Haven, CT 06520
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2013
Enumeration DateMay 29, 2013
Last NPPES UpdateJune 10, 20202 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
NPI 1417394677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CT · 65449
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License L-255585 (MA)
Also ListedInternal Medicine · Advanced Heart Failure and Transplant CardiologyTaxonomy 207RA0001X · License 65449 (CT)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2016-00576 (NC)
789 HOWARD AVE, New Haven, CT 06519

Secondary Practice Location 1

Location 12301 Erwin Rd # Dumc3845, Duke University HospitalDurham, NC 27705-4699 · Phone (919) 684-8111

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. Sounok 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 ID9133356934
PECOS Enrollment IDI20200917000102
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 12

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.
138 services113 patients
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.
100 services37 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.
64 services14 patients
Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
54 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services32 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.
31 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
1 supplier11 claims11 services$63.53 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$28.53 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 20

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

Internal Medicine (Gastroenterology)
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR
NEW HAVEN, CT 06519
Pediatrics (Pediatric Emergency Medicine)
789 HOWARD AVE, YNHH PEDIATRICS
NEW HAVEN, CT 06519
Internal Medicine (Interventional Cardiology)
789 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Interventional Cardiology)
789 HOWARD AVE, YNHH,
NEW HAVEN, CT 06519
Internal Medicine (Infectious Disease)
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR
NEW HAVEN, CT 06519
Radiology (Diagnostic Radiology)
789 HOWARD AVE, TOMPKINS EAST BUILDING ROOM 2-230
NEW HAVEN, CT 06519
Nurse Practitioner (Adult Health)
789 HOWARD AVE
NEW HAVEN, CT 06519
Pharmacist
789 HOWARD AVE
NEW HAVEN, CT 06519

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 Sounok Sen's NPI number?

The NPI number for Sounok Sen is 1417394677. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Where is Sounok Sen located?

Sounok Sen practices at 789 Howard Ave, New Haven, CT 06519. The listed phone number is (203) 785-7960.

What is Sounok Sen's specialty?

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

Is Sounok Sen enrolled in Medicare?

Yes. Sounok Sen 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.

When was this NPI record last updated?

The NPPES record for Sounok Sen was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.