Individual provider Active NPI

Peter J Sebeny, M.D.

  • Infectious Disease Physician
  • Newburyport, MA
National Provider Identifier
1194704932
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
15813 Issued in NH
Practice address
21 Highland Ave Ste 5
Newburyport, MA 01950-3873
Phone
(978) 255-4886
Fax
(978) 255-4878
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 15813 NH Primary

Addresses

Primary practice location

21 Highland Ave Ste 5
Newburyport, MA 01950-3873

Mailing address

24 Morrill PL Ste 2
Amesbury, MA 01913-3530
Phone (978) 834-8074

Other practice location 1

44 Birch St
Ste 200
Derry, NH 03038-2752
Phone (603) 421-9616

Other identifiers 1

IdentifierTypeStateIssuer
3081584MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peter.sebeny@cidsagp.eclinicaldirectplus.com Direct Seacoast Affiliated Group Practice, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180321001471 MA Practitioner - Infectious Disease 6800058660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
George Washington University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seacoast Affiliated Group Practice IncGroup PAC ID 1658357843, 50 clinicians

Practice addresses (Care Compare)

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 834-8074

Hospital & facility affiliations

  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
  • Parkland Medical Center Hospital, Derry, NH, CCN 300017
  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Exeter Hospital Inc Hospital, Exeter, NH, CCN 300023
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue108
Removal of skin lesions18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Apr 15, 2018 Accepting new patients
River Valley Infectious Disease Specialists Inc. Infectious Disease PastSince Jun 22, 2021 Accepting new patients
Parkland Physician Services Inc Past Accepting new patients

Locations

24 Morrill Pl
Amesbury, MA 01913
Phone (978) 388-5050

24 Morrill Pl
Ste 2
Amesbury, MA 01913
Phone (978) 462-9628

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217

1 Wallace Bashaw Way
Ste 2003
Newburyport, MA 01950
Phone (978) 465-0635

Interoperability endpoints

  • Direct secure messaging: dsebeny252584@direct.bilh.masshiway.net
  • Direct secure messaging: peter.sebeny@cidsagp.eclinicaldirectplus.com

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 5

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1194704932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MORRILL PL STE 2",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019133530",
            "telephone_number": "978-834-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE STE 5",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503873",
            "telephone_number": "978-255-4886",
            "fax_number": "978-255-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Birch St",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030382752",
            "country_code": "US",
            "telephone_number": "603-421-9616",
            "fax_number": "603-421-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBENY",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NH",
            "license": "15813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081584",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.sebeny@cidsagp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "SAGP Coastal Infectious Disease eClinicalWorks",
            "affiliationName": "Seacoast Affiliated Group Practice, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21 Highland Ave Ste 5",
            "city": "Newburyport",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019503873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.