Augusto C Sepulveda, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P3820 Issued in TX

Practice address

8050 E Highway 191
Suite 200
Odessa, TX 79765-8613

Phone

(432) 337-5411

Fax

(432) 337-0301

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ponce Medical School Foundation Inc

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1043208804
  NPD (past)
• Southern Internal Medicine Group, Inc.

  • Internal Medicine Physician
  • Ponce, PR
  • NPI 1780633651
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1043215932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602129",
            "telephone_number": "432-337-5411",
            "fax_number": "432-561-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E HIGHWAY 191",
            "address_2": "SUITE 200",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658613",
            "telephone_number": "432-337-5411",
            "fax_number": "432-337-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "AUGUSTO",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P3820",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P3820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303435701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Selby
• Simona Paula Selegean, O.D.
• Vani Selvan, M.D.
• Emily Renee Selvera, PT,DPT
• Sentry Medical Corporation
• Jaime Serdio Sherwin, M.D.
• Serendipity Therapy Services, PLLC
• Lesley Seright
• Kathia Serrano
• Visalakshi Sethuraman, M.D

• Internal Medicine Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.