NPIMap

Individual provider Active NPI

Ludonir Sebastiany, MD, MS

  • Family Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1104485606
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME164845 Issued in FL
Practice address
6804 Cecelia Drive
New Port Richey, FL 34653-4935
Phone
(855) 232-0644
Fax
(888) 546-0488
NPI assigned
Jun 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME164845 FL Primary

Addresses

Primary practice location

6804 Cecelia Drive
New Port Richey, FL 34653-4935

Mailing address

6804 Cecelia Drive
New Port Richey, FL 34653-4935
Phone (855) 232-0644

Other practice location 1

499 Alternate Keene Road
Largo, FL 33771
Phone (855) 232-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231229001153 FL Practitioner - Family Practice 1456735380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Florida State University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Physician Services IncGroup PAC ID 4688685654, 39 clinicians

Practice addresses (Care Compare)

New Port Richey, FL 34653
Phone (727) 232-0644

Hospital & facility affiliations

  • Aveanna Home Health Home health agency, Bradenton, FL, CCN 109108
  • Aveanna Home Health Home health agency, Sarasota, FL, CCN 108480
  • HCA Florida Healthcare at Home Home health agency, PT Charlotte, FL, CCN 108013
  • Enhabit Home Health Home health agency, Bradenton, FL, CCN 107540
  • Trilogy Home Healthcare Home health agency, Sarasota, FL, CCN 109371
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sabal Palms Health & Rehabilitation Nursing home, Largo, FL, CCN 105694

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME164845FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Florida P.a. CurrentSince Jun 6, 2024 Accepting new patients
Mobile Physician Services Inc. CurrentSince Mar 25, 2024 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

499 Alternate Keene Rd
Largo, FL 33771
Phone (727) 586-4211

6804 Cecelia Dr
New Prt Rchy, FL 34653
Phone (727) 232-0644

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1104485606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 CECELIA DRIVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346534935",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 CECELIA DRIVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346534935",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 Alternate Keene Road",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "33771",
            "country_code": "US",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBASTIANY",
        "first_name": "LUDONIR",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME164845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.