Active NPI
Sebastine I Elendu, MD
- Critical Care Medicine (Internal Medicine) Physician
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 32334
- Practice address
- 2301 House Ave
Suite 201
Cheyenne, WY 82001-3176 - Phone
- (307) 638-7757
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1619028545
Internal Medicine, SC
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Internal Medicine, SC
-
- Internal Medicine Physician
- Sylva, NC
- NPI 1609281641
Internal Medicine, NC
-
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
-
- Home Health Agency
- Florence, SC
- NPI 1215991682
-
- Chronic Care Clinical Nurse Specialist
- Florence, SC
- NPI 1427004738
-
- Home Infusion Therapy Pharmacy
- Florence, SC
- NPI 1821845512
-
- Community Based Hospice Care Agency
- Florence, SC
- NPI 1043289333
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
Hospital
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
Hospital
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1285200105
Hospital
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1558937474
Hospital
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1578402764
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apogee Medical Group South CarolinaMcLeod Regional Medical Center of the Pee Dee IncDLP Frye Medical Group LLC
Practice addresses (Care Compare)
2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
915 Tate Blvd SE
Hickory, NC 28602-4042
Hospital & facility affiliations
- McLeod Regional Medical Center-Pee Dee
- Musc Health Columbia Medical Center Downtown
- Frye Regional Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, NC, SC, TX, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050504000518 | LA | Practitioner - Pulmonary Disease | 1658336979 | Reassigns benefits to 1 organization |
| I20090423000637 | NC | Practitioner - Pulmonary Disease | 1658336979 | Reassigns benefits to 2 organizations |
| I20101026000115 | SC | Practitioner - Internal Medicine | 1658336979 | Reassigns benefits to 2 organizations |
| I20110526000771 | TX | Practitioner - Pulmonary Disease | 1658336979 | Reassigns benefits to 1 organization |
| I20130515000244 | ME | Practitioner - Critical Care (Intensivists) | 1658336979 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199938 | LA | MD | Internal Medicine Physician |
| 32334 | SC | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| DLP Western Carolina Physician Practices LLC | Internal Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Internal Medicine | Current | Accepting new patients |
| DLP Frye Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| DLP Frye Medical Group LLC | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Apogee Medical Group South Carolina | Internal Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Internal Medicine | Current | Accepting new patients |
| DLP Western Carolina Physician Practices LLC | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Franklin Hospital | Past | Accepting new patients | |
| Fryecare Physicians , LLC | Pulmonary Disease | Past | Accepting new patients |
| College Station Hospital LP | Past | Accepting new patients | |
| C & M Medical Services, Inc. | Past | Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
364 Main St
Lewiston, ME 04240
Phone (207) 795-5646
415 N Center St
Ste 203
Hickory, NC 28601
Phone (828) 322-2005
915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458
915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005
98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971
186 Medical Park Loop
Ste 503
Sylva, NC 28779
Phone (828) 331-8161
2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
- selendu32110@directmcleodehealth.org
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 199938 | LA | |
| Internal Medicine Physician | 207R00000X | 32334 | SC | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 32334 | SC | Primary |
| Pulmonary Disease Physician | 207RP1001X | 32334 | SC |
Addresses
NPPES NPI RegistryPrimary practice location
2301 House Ave
Suite 201
Cheyenne, WY 82001-3176
Mailing address
1559 208TH PL
Bayside, NY 11360-1121
Other identifiers 5
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC1134 | Medicaid | SC | |
| GP4306 | Other | SC | MEDICAID GROUP |
| 1076350 | Medicaid | LA | |
| 02053740 | Medicaid | MS | |
| GP3912 | Other | SC | MEDICAID GROUP |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2015.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1073536074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1559 208TH PL",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113601121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOUSE AVE",
"address_2": "SUITE 201",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013176",
"telephone_number": "307-638-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELENDU",
"first_name": "SEBASTINE",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "199938",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "32334",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "SC",
"license": "32334",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SC",
"license": "32334",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC1134",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "GP4306",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1076350",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02053740",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "GP3912",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.