Active NPI
James Albert Sebastian, MD
- Specialist
- Duluth, MN
National Provider Identifier
1033187141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 23222
- Practice address
- 1000 E 1St St
Suite LL
Duluth, MN 55805-2297 - Phone
- (218) 249-4700
- Fax
- (218) 722-5148
- NPI assigned
- Mar 14, 2006
- Last updated
- Apr 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 23222 | MN | Primary |
Addresses
Primary practice location
1000 E 1St St
Suite LL
Duluth, MN 55805-2297
Mailing address
1000 E 1St St
Suite LL
Duluth, MN 55805-2297
Phone (218) 249-4700
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111077 | Other | UCARE | |
| 531088100 | Medicaid | MN | |
| HP22611 | Other | HEALTH PARTHNERS | |
| 14581SE | Other | BLUE CROSS OF MN | |
| 0715428 | Other | MEDICA | |
| 346003 | Other | PREFERRED ONE | |
| A004 | Other | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland OB-GYN Associates | Current | Accepting new patients |
Locations
1000 E 1st St
Ste 204
Duluth, MN 55805
Phone (218) 249-5203
1000 E 1st St
Ste Ll
Duluth, MN 55805
Phone (218) 249-4700
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Duluth, MN
- NPI 1043397870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1033187141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E 1ST ST",
"address_2": "SUITE LL",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052297",
"telephone_number": "218-249-4700",
"fax_number": "218-722-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 1ST ST",
"address_2": "SUITE LL",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052297",
"telephone_number": "218-249-4700",
"fax_number": "218-722-5148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBASTIAN",
"first_name": "JAMES",
"middle_name": "ALBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MN",
"license": "23222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "111077",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "531088100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTHNERS",
"identifier": "HP22611",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MN",
"identifier": "14581SE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0715428",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "346003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A004",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.