Active NPI
Setshedi Sebata, MD
- Hospitalist Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 01078746A
- Practice address
- 5165 McCarty LN
Lafayette, IN 47905-8764 - Phone
- (765) 448-8000
- NPI assigned
- Nov 25, 2009
- Last updated
- Mar 19, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01078746A | IN | |
| Pediatrics Physician | 208000000X | T2009-140 | AR | |
| Pediatrics Physician | 208000000X | 54838 | MN | |
| Hospitalist Physician | 208M00000X | 01078746A | IN | Primary |
Addresses
Primary practice location
5165 McCarty LN
Lafayette, IN 47905-8764
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
2600 Ferry St
Lafayette, IN 47904-3055
Phone (765) 448-8000
Other practice location 2
1680 Diagonal Rd
Worthington, MN 56187-1008
Phone (507) 372-3800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300008249 | Medicaid | IN | |
| 000001090906 | Other | IN | ANTHEM PROVIDER NUMBER |
| 061833974 | Medicaid | AR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssebata@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T2009-140 | AR | MD | Pediatrics Physician |
| 01078746A | IN | MD | Hospitalist Physician |
| 105845 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Sanford Health Network | Pediatrics | Current | Accepting new patients |
| Sanford Health Network | Pediatrics | Current | Accepting new patients |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Baxter County Regional Hospital, Inc | Pediatrics | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
2600 Ferry St
Lafayette, IN 47904
2600 Greenbush St
Lafayette, IN 47904
5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448
5165 McCarty Ln
Rm 28A
Lafayette, IN 47905
1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200
249 5th St E
Tracy, MN 56175
Phone (507) 629-3520
1680 Diagonal Rd
Worthington, MN 56187
Phone (507) 372-3800
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
Interoperability endpoints
- ssebata@direct.iuhealth.org
Organizations & group practices 8
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
dba Sanford Clinic Tracy
- Family Medicine Physician
- Tracy, MN
- NPI 1699869875
Pediatrics
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
dba Sanford Clinic Jackson
- Rural Health Clinic/Center
- Jackson, MN
- NPI 1083638357
-
dba Sanford Worthington Clinic
- Family Medicine Physician
- Worthington, MN
- NPI 1487685970
Pediatrics
-
dba Baxter Health Care Management
- General Practice Physician
- Mountain Home, AR
- NPI 1558691410
Pediatrics
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1245568500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5165 MCCARTY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479058764",
"telephone_number": "765-448-8000"
}
],
"practiceLocations": [
{
"address_1": "2600 Ferry St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479043055",
"country_code": "US",
"telephone_number": "765-448-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1680 Diagonal Rd",
"address_purpose": "LOCATION",
"city": "Worthington",
"state": "MN",
"postal_code": "561871008",
"country_code": "US",
"telephone_number": "507-372-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEBATA",
"first_name": "SETSHEDI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-25",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01078746A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "T2009-140",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "54838",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01078746A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300008249",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000001090906",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061833974",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssebata@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5165 McCarty Ln",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479058764",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.