NPPES file of Aug 9, 2026

Sena Sumathisena, M.D.

Cardiovascular Disease Physician · Browns Mills, NJ

Sena Sumathisena, M.D. is a cardiovascular disease physician with a practice address in Browns Mills, New Jersey, and NPI 1013951227, issued on Jun 16, 2006. Check the license (New Jersey 25MA02688200, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1013951227
Name
Sena Sumathisena
Credential
M.D.
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License number
25MA02688200 NJ
Self-reported in NPPES; status is on the state search
Practice location
200 Trenton RD, Browns Mills, NJ 08015
Phone
(609) 893-1200
Enumerated
Jun 16, 2006
Record last updated
May 12, 2015 (not updated in 11 years: call before relying on the address or phone)
Fax
(609) 735-0175
Medicaid ID
0467502 NJ
Medicare enrollment
Enrolled (PECOS I20101116000976); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 200 Trenton RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rania Aboujaoude, M.D.Infectious Disease Physician1801839667
  2. David Altimore, DOCardiovascular Disease Physician1609816750
  3. Gail BaxterRegistered Dietitian1275992893
  4. Parijat Billah, PHARMDPharmacist1306452958
  5. Nicholas Blanck, MSN, APN-ANESTHESIACertified Registered Nurse Anesthetist1841595444
  6. Camryn Bogert, PA-CPhysician Assistant1649000514

Verify Sena Sumathisena in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MA02688200
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Jersey license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.3 times the Medicare Part D claims of the average cardiovascular disease physician in 2024

7,006 Medicare Part D claims for 884 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.

  1. Sena Sumathisena7,006
  2. Specialty average3,078

Most prescribed

  1. Atorvastatin Calcium594 claims
  2. Metoprolol Succinate523 claims
  3. Rosuvastatin Calcium482 claims
  4. Clopidogrel398 claims
  5. Spironolactone329 claims
  6. Carvedilol301 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 95.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score96.5
  2. Costout of 100 · 30%82.6
  3. Promoting interoperabilityout of 100 · 25%99.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Professional Service Fund OF Deborah Heart And Lung CenterBrowns Mills, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sena Sumathisena among 1,102 cardiovascular disease physician records in New Jersey

Sena Sumathisena, M.D. is one of 1,102 cardiovascular disease physician records with a practice address in New Jersey. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 16% of them.

  • NPI issued2006 · 16% of these records are older, 40% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 76% of these records are
  • Graduated1966 · median 1997 among the 833 with a school on file
  • Record last updated2015 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

18 cardiovascular disease physician records list a practice address in Browns Mills

They are 18 of the 187 NPPES records with a practice address in Browns Mills, and 1,102 cardiovascular disease physician records in New Jersey.

The 8 cardiovascular disease physician records with the nearest ZIP codes

  1. David Altimore, DOBrowns Mills, NJ 080151609816750
  2. Renee Bullock-Palmer, M.D,Browns Mills, NJ 080151972823334
  3. Frank Fish, MDBrowns Mills, NJ 080151265409817
  4. Alan Ghaly, DOBrowns Mills, NJ 080151245463520
  5. Daniel Ice, M.D.Browns Mills, NJ 080151669633004
  6. Richard Kovach, MDBrowns Mills, NJ 080151144209891
  7. Jonathan Krathen, D.O.Browns Mills, NJ 080151598023996
  8. David Maletzky, DOBrowns Mills, NJ 080151891736385

Common questions

What is Sena Sumathisena, M.D.'s NPI number?

Sena Sumathisena, M.D.'s National Provider Identifier (NPI) is 1013951227, issued on Jun 16, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Sena Sumathisena, M.D. located?

The NPPES record lists a practice address at 200 Trenton RD, Browns Mills, NJ, 08015. Phone: (609) 893-1200. Providers update this record themselves, so call before visiting.

How can I verify Sena Sumathisena, M.D.'s license?

NPPES lists New Jersey license number 25MA02688200, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sena Sumathisena, M.D. prescribe under Medicare Part D?

In 2024, Sena Sumathisena, M.D. had 7,006 Medicare Part D claims for 884 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

What is Sena Sumathisena, M.D.'s MIPS final score?

The 2023 MIPS final score is 95.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.