JOANNA MARGARET SENTISSI M.D.
NPI 1750387874
Surgery in Newton, MA

NPI Status: Active since June 23, 2005

Contact Information

2000 WASHINGTON ST
STE 365
NEWTON, MA
ZIP 02462
Phone: (617) 244-5355
Fax: (617) 244-8662

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  • Individual
  • Female
  • Years of Experience 47
  • Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JOANNA SENTISSI

This page provides the complete NPI Profile along with additional information for Joanna Sentissi, a provider established in Newton, Massachusetts with a medical specialization in Surgery and more than 47 years of experience. The healthcare provider is registered in the NPI registry with number 1750387874 assigned on June 2005. The practitioner's primary taxonomy code is 208600000X with license number 52435 (MA). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1750387874
Provider Name
JOANNA MARGARET SENTISSI M.D.
Gender
Female
Entity Type
Individual
Location Address
2000 WASHINGTON ST STE 365 NEWTON, MA 02462
Location Phone
(617) 244-5355
Location Fax
(617) 244-8662
Mailing Address
2000 WASHINGTON ST STE 365 NEWTON, MA 02462
Mailing Phone
(617) 244-5355
Mailing Fax
(617) 244-8662
Medical School Name
OTHER
Graduation Year
1979
Is Sole Proprietor?
No
Enumeration Date
06-23-2005
Last Update Date
06-05-2008
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A surgeon like Joanna Sentissi treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
52435
License State
MA
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

52435 (MA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
B87119MEDICARE UPIN (02)MA 
3006867MEDICAID (05)MA 
J03007MEDICARE PIN (08)MA 

Medicare Participation & PECOS Enrollment Status

Joanna Sentissi is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Joanna Sentissi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8729034608

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050323001088

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 32 times for 24 patients

Injection of chemical agent into multiple incompetent veins of leg

This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.

This service was performed 28 times for 11 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 25 times for 25 patients

Varicose vein removal

Varicose vein removal is a procedure to eliminate enlarged and twisted veins, commonly found in legs. It's performed when these veins cause discomfort or skin problems. The procedure may involve laser treatment, sclerotherapy (injecting a solution to close the veins), or surgery to remove the veins. It's generally safe and helps to alleviate symptoms.

This service was performed for 36 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $24.41 for a new patient copayment and $19.71 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02462 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $97.64
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $24.41
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $78.84
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $19.71
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for JOANNA MARGARET SENTISSI M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750387874
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271006814814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 8 + 1 + 4 + 8 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1750387874 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215933320 MORTON GERALD KAHAN M.D.
Individual
Surgery2000 WASHINGTON ST STE 365
NEWTON, MA 02462
(617) 244-5355
1992701502 DON L GOLDENBERG M.D.
Individual
Internal Medicine (Rheumatology)2000 WASHINGTON ST STE 304
NEWTON, MA 02462
(617) 243-5440
1154329134 JEFFREY S LAMONT MD
Individual
Urology2000 WASHINGTON ST STE 443
NEWTON, MA 02462
(617) 527-1716
1699773689 GEORGE D KORNITZER MD
Individual
Urology2000 WASHINGTON ST STE 443
NEWTON, MA 02462
(617) 527-1716
1710986500 FREDERICK MILLHAM MD
Individual
Surgery2000 WASHINGTON ST SUITE 670 GREEN
NEWTON, MA 02462
(617) 248-6496
1003815366 BRUCE ALDEN THAYER M.D.
Individual
Surgery2000 WASHINGTON ST SUITE 665
NEWTON, MA 02462
(617) 243-3724
1558361113 SHEILA K PARTRIDGE M.D.
Individual
Surgery2000 WASHINGTON ST SUITE 665
NEWTON, MA 02462
(617) 243-3724
1548257959DR. CHARLES STANLEY BROWN M.D.
Individual
Pediatrics (Adolescent Medicine)2000 WASHINGTON ST GREEN BLDG. STE 468
NEWTON, MA 02462
(617) 965-6700
1104813443DR. ALLAN NORMAN ENGEL M.D.
Individual
Internal Medicine2000 WASHINGTON ST SUITE 568
NEWTON LOWER FALLS, MA 02462
(677) 244-7142
1891784112DR. NED SALTZMAN M.D.
Individual
Urology2000 WASHINGTON ST SUITE 660
NEWTON, MA 02462
(617) 332-0116
1154310332DR. AVROHM MELNICK MD
Individual
Internal Medicine (Geriatric Medicine)2000 WASHINGTON ST
NEWTON, MA 02462
(617) 964-2299
1760473862DR. VICTOR E. CALCATERRA M.D.
Individual
Otolaryngology2000 WASHINGTON ST SUITE 668
NEWTON, MA 02462
(617) 630-1699
1306837703MS. CATHERINE E DENNEHY PNP
Individual
Nurse Practitioner (Pediatrics)2000 WASHINGTON ST SUITE 468 - GREEN BUILDING
NEWTON, MA 02462
(617) 965-6700
1922083542 ELISSA EHRLICH KAPLAN M.D.
Individual
Internal Medicine (Gastroenterology)2000 WASHINGTON ST SUITE 368
NEWTON, MA 02462
(617) 969-1227
1528043999 KARIE LIN DEVRIES MD
Individual
Obstetrics & Gynecology2000 WASHINGTON ST SUITE 764
NEWTON, MA 02462
(617) 965-7800
1437134806 CELA DOPPELT MD
Individual
Obstetrics & Gynecology (Gynecology)2000 WASHINGTON ST SUITE 764
NEWTON, MA 02462
(617) 965-7800
1457336810 VIRGINIA A SIMMONS MD
Individual
Obstetrics & Gynecology2000 WASHINGTON ST STE 764
NEWTON, MA 02462
(617) 965-7800
1184609554 EMILY Y NEWTON-CHEH MD
Individual
Obstetrics & Gynecology2000 WASHINGTON ST STE 764
NEWTON, MA 02462
(617) 965-7800
1770561565 BRIAN SALTZMAN M.D.
Individual
Urology2000 WASHINGTON ST SUITE 660
NEWTON LOWER FALLS, MA 02462
(617) 332-0116
1194705814 PHYLLIS W SCHERR MD
Individual
Obstetrics & Gynecology (Gynecology)2000 WASHINGTON ST SUITE 760
NEWTON, MA 02462
(617) 332-5551

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750387874, enumerated in the NPI registry as an "individual" on June 23, 2005

The provider is located at 2000 Washington St Ste 365 Newton, Ma 02462 and the phone number is (617) 244-5355

The provider's speciality is Surgery with taxonomy code 208600000X

The provider has more than 47 years of experience.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $78.84 and an average copayment of 19.71. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 10-19 minutes, Injection of chemical agent into multiple incompetent veins of leg, New patient office or other outpatient visit, 30-44 minutes and Varicose vein removal.

This NPI record was last updated on June 23, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.