KEVIN MARK SENN (MD) – Pediatrics Physician, NPI 1013973668

KEVIN MARK SENN (MD) is a healthcare provider. based in Portland, Oregon. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 183438 (NY). The NPI Number for KEVIN MARK SENN (MD) is 1013973668

Main info

Male
Name
KEVIN MARK SENN (MD)
NPI
1013973668
Phone
(503) 494-1619
Address
707 SW GAINES ST.
Enumeration Date
24 April 2006
Last Update Date
11 January 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for KEVIN MARK SENN (MD)

  • Child Development Rehabilitation Center, 707, Southwest Gaines Street, Marquam Hill, Homestead, Portland, Multnomah County, Oregon, 97239, United States

    CDRC

    PORTLAND, OR 972393098

    Phone: (503) 494-1619

    Fax: (503) 494-6868

    Mailing address matches the actual address.

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: 2011-01-11

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
I20110111000419INeurodevelopmental DisabilitiesORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97239)

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Reviews

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Frequently asked questions

Can I verify KEVIN MARK SENN (MD) with an NPI only?
You can start verification with NPI 1013973668 for KEVIN MARK SENN (MD), then check state licensing separately.
Can I rely on KEVIN MARK SENN (MD) being an active provider?
As of the registry snapshot, KEVIN MARK SENN (MD) is marked active.
What taxonomy line describes KEVIN MARK SENN (MD)?
For research purposes, treat KEVIN MARK SENN (MD) as Pediatrics Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does KEVIN MARK SENN (MD) serve?
KEVIN MARK SENN (MD)'s listing highlights Portland, Oregon; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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