Individual provider Active NPI

Peter Raymond Sebastian, DO

  • Neurology Physician
  • Salisbury, MD
National Provider Identifier
1154328284
Registry record updated Aug 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H0029243 Issued in MD
Practice address
32071 Beaver Run Dr
Ste B
Salisbury, MD 21804-1773
Phone
(410) 341-6520
Fax
(410) 341-6526
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X H0029243 MD Primary

Addresses

Primary practice location

32071 Beaver Run Dr
Ste B
Salisbury, MD 21804-1773

Mailing address

PO Box 1859
Salisbury, MD 21802-1859
Phone (410) 341-6520

Other identifiers 1

IdentifierTypeStateIssuer
31831MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040303000241 MD Practitioner - Osteopathic Manipulative MedicinePractitioner - Neurology 5597652685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Neurology
Education
Philadelphia College of Osteopathic Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32071 Beaver Run Dr
Suite B
Salisbury, MD 21804-1704

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Peter Sebastian D.O. PA CurrentSince Jan 1, 1993 Accepting new patients

Locations

32071 Beaver Run Dr
Ste B
Salisbury, MD 21804
Phone (410) 341-0520

Organizations & group practices 1

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 2

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344729600000",
    "number": "1154328284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1859",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218021859",
            "telephone_number": "410-341-6520",
            "fax_number": "410-341-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32071 BEAVER RUN DR",
            "address_2": "STE B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041773",
            "telephone_number": "410-341-6520",
            "fax_number": "410-341-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "PETER",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2012-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "H0029243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31831",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.