NPIMap

Individual provider Active NPI

Sebastine I Elendu, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Cheyenne, WY
National Provider Identifier
1073536074
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
32334 Issued in SC
Practice address
2301 House Ave
Suite 201
Cheyenne, WY 82001-3176
Phone
(307) 638-7757
NPI assigned
Jul 25, 2006
Last updated
May 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

Primary practice location

2301 House Ave
Suite 201
Cheyenne, WY 82001-3176

Mailing address

1559 208TH PL
Bayside, NY 11360-1121

Other identifiers 5

IdentifierTypeStateIssuer
02053740MedicaidMS
GP3912OtherSCMEDICAID GROUP
1076350MedicaidLA
GP4306OtherSCMEDICAID GROUP
NC1134MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NC, SC, TX, ME5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20050504000518 LA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 1658336979 Reassigns benefits to 1 organization
I20090423000637 NC Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1658336979 Reassigns benefits to 2 organizations
I20101026000115 SC Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 1658336979 Reassigns benefits to 2 organizations
I20110526000771 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1658336979 Reassigns benefits to 1 organization
I20130515000244 ME Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 1658336979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group South CarolinaGroup PAC ID 8921193020, 69 clinicians
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
199938LAMDInternal Medicine Physician
32334SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Dec 15, 2014 Accepting new patients
Central Maine Medical Center CurrentSince Jan 14, 2013 Accepting new patients
Central Maine Medical Center CurrentSince Jan 14, 2013 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2017 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Jan 30, 2018 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 15, 2014 Accepting new patients
DLP Frye Medical Group LLC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
DLP Western Carolina Physician Practices LLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Apogee Medical Group South Carolina Internal Medicine CurrentSince Feb 3, 2026 Accepting new patients
Central Maine Medical Center Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jan 30, 2018 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Jul 1, 2020 Accepting new patients
College Station Hospital LP Past Accepting new patients
Franklin Hospital Past Accepting new patients
Fryecare Physicians , LLC Pulmonary Disease Past Accepting new patients
C & M Medical Services, Inc. PastSince Oct 1, 2006 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 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

186 Medical Park Loop
Ste 503
Sylva, NC 28779
Phone (828) 331-8161

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: selendu32110@directmcleodehealth.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "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": "02053740",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "GP3912",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1076350",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "GP4306",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1134",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.