NPIMap

Individual provider Active NPI

John A Sebas, MD

  • Family Medicine Physician
  • Saint Cloud, MN
National Provider Identifier
1275500233
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36840 Issued in MN
Practice address
1555 Northway Dr Ste 100
Saint Cloud, MN 56303-1258
Phone
(320) 251-1775
Fax
(320) 240-3131
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36840 MN Primary

Addresses

Primary practice location

1555 Northway Dr Ste 100
Saint Cloud, MN 56303-1258

Mailing address

1245 15TH St N
Saint Cloud, MN 56303-1802
Phone (320) 253-5220

Other identifiers 1

IdentifierTypeStateIssuer
144018700MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512001067 MN Practitioner - Family Practice 4880722800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

1555 Northway Dr
100 Centra Care Clinic Northway Family
St Cloud, MN 56303-1258
Phone (320) 251-1775

Hospital & facility affiliations

  • Vivie Home Health Home health agency, Alexandria, MN, CCN 248096
  • Centracare Home Health Home health agency, Waite Park, MN, CCN 247117
  • Adara Home Health Inc Home health agency, Buffalo, MN, CCN 248056
  • Centracare - St. Cloud Hospital Hospital, Saint Cloud, MN, CCN 240036
  • Centracare Health System - Melrose Hospital Hospital, Melrose, MN, CCN 241330
  • Centracare - Paynesville Hospital Hospital, Paynesville, MN, CCN 241349

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic CurrentSince Aug 1, 2020 Accepting new patients
Group Health, Inc. CurrentSince Jan 1, 2012 Accepting new patients
Group Health, Inc. Current Accepting new patients
Centracare Clinic Current Accepting new patients
Park Nicollet Clinic Family Medicine Current Accepting new patients
Centracare Clinic CurrentSince Aug 1, 2020 Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Mar 20, 2020 Accepting new patients
Centracare Clinic Past Accepting new patients

Locations

12800 Rolling Ridge Rd
Becker, MN 55308
Phone (763) 261-7000

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1245 15th St N
Saint Cloud, MN 56303
Phone (320) 253-5200

1555 Northway Dr
Ste 100
Saint Cloud, MN 56303
Phone (320) 240-3114

2251 Connecticut Ave S
Sartell, MN 56377
Phone (320) 253-5220

Interoperability endpoints

  • Direct secure messaging: jsebas1562@direct.centracare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1275500233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 15TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031802",
            "telephone_number": "320-253-5220",
            "fax_number": "320-203-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NORTHWAY DR STE 100",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031258",
            "telephone_number": "320-251-1775",
            "fax_number": "320-240-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBAS",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "36840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144018700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.