Individual provider Active NPI

Sekai Chideya, MD

  • Family Medicine Physician
  • Ellicott City, MD
National Provider Identifier
1174816409
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0097379 Issued in MD
Practice address
4801 Dorsey Hall Dr Ste 201
Ellicott City, MD 21042-7749
Phone
(410) 997-5191
NPI assigned
May 19, 2011
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A82769 CA
Family Medicine Physician 207Q00000X D0097379 MD Primary
Family Medicine Physician 207Q00000X 242932-1 NY

Addresses

Primary practice location

4801 Dorsey Hall Dr Ste 201
Ellicott City, MD 21042-7749

Mailing address

4801 Dorsey Hall Dr Ste 201
Ellicott City, MD 21042-7749
Phone (410) 997-5191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040512001081 CA Practitioner - Family Practice 4385634492 Reassigns benefits to 2 organizations
I20250906000931 MD Practitioner - Family Practice 4385634492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifebridge Medical Associates LLCGroup PAC ID 0446470165, 18 clinicians

Practice addresses (Care Compare)

4801 Dorsey Hall Dr
Suite 201
Ellicott City, MD 21042-7749
Phone (443) 393-3788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82769CAMDFamily Medicine Physician
D0097379MDMDFamily Medicine Physician
242932-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care Family Medicine CurrentSince Feb 15, 2018 Accepting new patients
Lifelong Medical Care CurrentSince Feb 15, 2018 Accepting new patients
Lifebridge Medical Associates, LLC CurrentSince Jul 28, 2025 Accepting new patients
John Muir Physician Network CurrentSince Dec 14, 2015 Accepting new patients

Locations

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

1450 Treat Blvd
Ste 160
Walnut Creek, CA 94597
Phone (925) 296-9000

4801 Dorsey Hall Dr
Ste 201
Ellicott City, MD 21042
Phone (410) 997-5191

4801 Dorsey Hall Dr
#G
Ellicott City, MD 21042
Phone (443) 393-3788

Organizations & group practices 4

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": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1174816409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 DORSEY HALL DR STE 201",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427749",
            "telephone_number": "410-997-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 DORSEY HALL DR STE 201",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427749",
            "telephone_number": "410-997-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDEYA",
        "first_name": "SEKAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A82769",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0097379",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "242932-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.