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SENECTUM MEDICAL GROUP LLC
NPI 1710749114
Family Medicine - Geriatric Medicine in Maineville, OH

Active since January 30, 2024
954 SEDGEFIELD CT, MAINEVILLE, OH 45039(513) 275-6551(513) 880-0849 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Senectum Medical Group Llc NPPES

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

SENECTUM MEDICAL GROUP LLC (NPI 1710749114) is a healthcare organization registered as a geriatric medicine in Maineville, Ohio and active in the NPI registry since January 2024. The organization lists Phyllis J Atkinson, Owner, as its authorized official.

NPPES Registry Identity

NPI1710749114
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameSENECTUM MEDICAL GROUP LLC
Location Address954 SEDGEFIELD CTMaineville, OH 45039-7513
Mailing AddressPo Box 1060Uniontown, OH 44685-1060
Phone(513) 275-6551
Fax(513) 880-0849
Organization SubpartNo
Authorized OfficialPhyllis J AtkinsonOwner · (513) 878-0907
Enumeration DateJanuary 30, 2024
Last NPPES UpdateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1710749114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
954 SEDGEFIELD CT, Maineville, OH 45039
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Senectum Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Senectum Medical Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Phyllis Atkinson, NP
Nurse Practitioner
NPI 1992849509
954 SEDGEFIELD CT
Maineville, OH 45039
(513) 275-6551
✔ PECOS✔ Accepts MedicareSame address
Daniel Swagerty, M.D.
Geriatric Medicine
NPI 1992891048
954 SEDGEFIELD CT
Maineville, OH 45039
(513) 275-6551
✔ PECOS✔ Accepts MedicareSame address
Ran Zhou, APRN
Nurse Practitioner
NPI 1467581132
9050 CENTRE POINTE DR SUITE 400
West Chester, OH 45069
(513) 603-6200
✔ PECOS✔ Accepts Medicare9.9 mi

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

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 Senectum Medical Group LLC's NPI number?

The NPI number for Senectum Medical Group LLC is 1710749114. It was assigned to this organization in the NPPES registry on January 30, 2024.

Where is Senectum Medical Group LLC located?

Senectum Medical Group LLC is located at 954 Sedgefield Ct, Maineville, OH 45039. The listed phone number is (513) 275-6551.

What is Senectum Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Senectum Medical Group LLC enrolled in Medicare?

Yes. Senectum Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Senectum Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Senectum Medical Group LLC, in Geriatric Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Senectum Medical Group LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Senectum Medical Group LLC 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 Senectum Medical Group LLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.