Individual provider Active NPI

Christina Elizabeth Sebestyen, M.D.

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1104859073
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M2085 Issued in TX
Practice address
12221 Renfert Way
Ste 330
Austin, TX 78758-5374
Phone
(512) 425-3825
Fax
(512) 425-3829
NPI assigned
Jul 7, 2006
Last updated
Nov 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M2085 TX Primary

Addresses

Primary practice location

12221 Renfert Way
Ste 330
Austin, TX 78758-5374

Mailing address

12221 Renfert Way
Ste 330
Austin, TX 78758-5374
Phone (512) 425-3825

Other identifiers 2

IdentifierTypeStateIssuer
30204255MedicaidNH
189184801MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
M2085TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OBGYN North Past Accepting new patients
Christina Sebestyen MD PA Past Accepting new patients
Caring Partners OBGYN Obstetrics & Gynecology Past Accepting new patients
Frisbie Memorial Hospital Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11541/brand/6/csg/24/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1104859073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 RENFERT WAY",
            "address_2": "STE 330",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585374",
            "telephone_number": "512-425-3825",
            "fax_number": "512-425-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 RENFERT WAY",
            "address_2": "STE 330",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585374",
            "telephone_number": "512-425-3825",
            "fax_number": "512-425-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBESTYEN",
        "first_name": "CHRISTINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M2085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204255",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189184801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.