DR. SOURAV SEN (M.D) – Internal Medicine Physician, NPI 1417167693

DR. SOURAV SEN (M.D) is a healthcare provider. based in Paterson, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 25MA08599400 (NJ). The NPI Number for DR. SOURAV SEN (M.D) is 1417167693

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. SOURAV SEN (M.D)
NPI
1417167693
Phone
(973) 754-2000
Address
200 HOSPITAL PLZ
Enumeration Date
23 May 2007
Last Update Date
10 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2014755050
Graduation Year
1999 (27 years ago)
PAC ID
4284780537
Group Practice PAC ID
4183610520
Professional Enrollment ID
I20090929000066
Address ID
NJ074103016FA22XXXBROA306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,887 INTERNAL MEDICINE in NJ

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Provider Addresses for DR. SOURAV SEN (M.D)

  • 200, Hospital Plaza, Paterson, Passaic County, New Jersey, 07503, United States

    APARTMENT 308

    PATERSON, NJ 075033072

    Phone: (973) 754-2000

    Type: Mailing

  • St. Joseph’s Regional Medical Center, 703, Main Street, Paterson, Passaic County, New Jersey, 07503, United States

    PATERSON, NJ 075032621

    Phone: (973) 754-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090929000066IInternal MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes41662$0
99239Hospital discharge day management, more than 30 minutes4536$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4137$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3718$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 07503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183610520View full group profile
NameSpecialtyState
Emergency Medicine, Pulmonary DiseaseNJ
Internal MedicineNJ
-NJ
P A T H O L O G YNJ
Internal MedicineNJ
P A T H O L O G YNJ
Internal MedicineNJ
P A T H O L O G YNJ
-NJ
Internal MedicineNJ

Reviews

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Frequently asked questions

Is DR. SOURAV SEN (M.D) listed with a National Provider Identifier?
Yes — DR. SOURAV SEN (M.D) has NPI 1417167693 on file in the registry.
Is DR. SOURAV SEN (M.D) shown as active in public data?
Registry records indicate DR. SOURAV SEN (M.D) maintains an active NPI.
What clinical focus is listed for DR. SOURAV SEN (M.D)?
At a glance, DR. SOURAV SEN (M.D) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. SOURAV SEN (M.D) located near Paterson?
DR. SOURAV SEN (M.D) currently maps to Paterson, New Jersey in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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