Active NPI
Sekai Chideya, MD
- Family Medicine Physician
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0097379
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A82769 | CA | MD | Family Medicine Physician |
| D0097379 | MD | MD | Family Medicine Physician |
| 242932-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelong Medical Care | Family Medicine | Current | Accepting new patients |
| Lifelong Medical Care | Current | Accepting new patients | |
| Lifebridge Medical Associates, LLC | Current | Accepting new patients | |
| John Muir Physician Network | Current | 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.
-
dba Crossroads Medical Group
- Internal Medicine Physician
- Ellicott City, MD
- NPI 1124433628
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
dba Over Sixty Health Center
- Geriatric Medicine (Family Medicine) Physician
- Berkeley, CA
- NPI 1689670002
-
- Family Medicine Physician
- Rodeo, CA
- NPI 1003289463
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.