DR. SANJAY K SEN MD
NPI 1932171881
Internal Medicine in Shamokin, PA

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
531 N FRANKLIN ST, SUITE A, SHAMOKIN, PA 17872(570) 648-0000(570) 648-0896 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sanjay K Sen Md NPPES

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

DR. SANJAY K SEN MD (NPI 1932171881) is an individual internal medicine provider in Shamokin, Pennsylvania, licensed in Pennsylvania (MD072254L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1932171881
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANJAY K SENCredential: MD
Location Address531 N FRANKLIN ST, SUITE AShamokin, PA 17872-6754
Mailing Address531 N Franklin St, Suite AShamokin, PA 17872-6754 · (570) 648-0000 · Fax (570) 648-0896
Fax(570) 648-0896
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateFebruary 6, 2006
Last NPPES UpdateMarch 17, 2015
✔ NPI 1932171881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD072254L
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.
531 N FRANKLIN ST, Shamokin, PA 17872

Other Identifiers 2

Medicare UPINH28405PA
Medicare PIN043776PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sanjay K 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 ID4486556909
PECOS Enrollment IDI20040124000224
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Sanjay Sen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Intermediate Care Facility, Intellectual Disabilities
1000 US HIGHWAY 522
Selinsgrove, PA 17870
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
Internal Medicine
2901 JOLLY RD
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 73 clinicians in this Medicare group
Internal Medicine
2901 JOLLY RD
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 113 clinicians in this Medicare group
Geriatric Medicine
2901 JOLLY RD
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Suburban Geriatric's, Inc.
  • 114 clinicians in this Medicare group
Geriatric Medicine
2901 JOLLY RD
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 113 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
19 services11 patients

Hospital Affiliations CMS Care Compare

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17872 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 20

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 supplier14 claims51 services$6.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
1 supplier14 claims31 services$1.05 avg. paid by Medicare
Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims12 services$6.90 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$22.36 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier11 claims44 services$2.14 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier23 claims33 services$8.90 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.

Counselor (Professional)
531 N FRANKLIN ST
SHAMOKIN, PA 17872
Clinic/Center (Federally Qualified Health Center (FQHC))
531 N FRANKLIN ST
SHAMOKIN, PA 17872
Family Medicine
531 N FRANKLIN ST
SHAMOKIN, PA 17872
Nurse Practitioner (Family)
531 N FRANKLIN ST
SHAMOKIN, PA 17872
Internal Medicine
531 N FRANKLIN ST, SUITE A
SHAMOKIN, PA 17872

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 Sanjay Sen's NPI number?

The NPI number for Sanjay Sen is 1932171881. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Sanjay Sen located?

Sanjay Sen practices at 531 N Franklin St Suite A, Shamokin, PA 17872. The listed phone number is (570) 648-0000.

What is Sanjay Sen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sanjay Sen enrolled in Medicare?

Yes. Sanjay 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.

Which organizations bill Medicare for Sanjay Sen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Sen reassigns Medicare benefits to 5 organizations: Pennsylvania Department Of Human Services (Selinsgrove, PA), Suburban Geriatrics At Home PC (Plymouth Meeting, PA), Suburban Geriatrics II PC (Plymouth Meeting, PA), Suburban Geriatrics, Inc. (Plymouth Meeting, PA) and Violet Valley Long Term Care PC (Plymouth Meeting, PA). Each 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 Sanjay Sen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sanjay Sen affiliated with any hospitals?

According to CMS data, Sanjay Sen is affiliated with Geisinger Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjay Sen was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.