Celestino Eddie Sepulveda II, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

172205-2 Issued in NY

Practice address

207 Washington Street
Suite 203
Poughkeepsie, NY 12601

Phone

(845) 471-0800

Fax

(845) 471-0811

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Plastic and Reconstructive Surgery

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Medical Group of the Hudson Valley PCGroup PAC ID 3072575109, 134 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Westchester Medical Center Hospital, Valhalla, NY, CCN 330234

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: csepulveda@premiermedicalhv.medentdirect.com

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.

• Premier Medical Group of the Hudson Valley P.C.

  • Urology Physician
  • Poughkeepsie, NY
  • NPI 1255437166
  Medicare reassignment Care Compare group NPD
• Premier Medical Group of the Hudson Valley, P.C.

  • Podiatrist
  • Wappingers Falls, NY
  • NPI 1467290130
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Westchester County Health Care Corporation

  dba Westchester Medical Center

  • General Acute Care Hospital
  • Valhalla, NY
  • NPI 1932280666
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1457401168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WASHINGTON STREET",
            "address_2": "SUITE 203",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-471-0800",
            "fax_number": "845-471-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WASHINGTON STREET",
            "address_2": "SUITE 203",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-471-0800",
            "fax_number": "845-471-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "CELESTINO",
        "middle_name": "EDDIE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "172205-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01051876",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Senior, RN
• William J Senisi, M.D.
• Saski Senorine
• Harjyot Sensi, CRNA
• Meen Chan Seo, MD
• Sarah Sercombe, NP
• Sheva Serhofer, CRNA
• Margaret Serino, NP
• Lisa A Serri
• Lake Serrins, MSW

• Plastic Surgery Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.

Verify at the official NPI Registry.