Sebastian G Sepulveda, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

204365 Issued in MA

Practice address

9 North Rd
Suite 101
Chelmsford, MA 01824-2755

Phone

(978) 458-2005

Fax

(978) 452-5975

NPI assigned

Nov 18, 2005

Last updated

Feb 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 11

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

Specialty

Internal MedicineAlso: Nephrology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lowell General Inpatient Specialists PLLCGroup PAC ID 8729371380, 70 clinicians

Commonwealth Medical Practice LLCGroup PAC ID 5092134742, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Medical Care of Lowell Dialysis facility, Lowell, MA, CCN 222583
• Fresenius Medical Care Chelmsford Dialysis facility, Chelmsford, MA, CCN 222587
• Lowell General Hospital Hospital, Lowell, MA, CCN 220063
• Emerson Hospital - Hospital, W Concord, MA, CCN 220084

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3764/brand/3/csg/41/fhir/r4
• FHIR API: https://fhir-myrecord.cerner.com/r4/3a5f2b67-21a2-4bcc-959e-bdff6da685ae/
• FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/
• Direct secure messaging: sebastian.sepulveda.1@3764.direct.athenahealth.com

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.

• Commonwealth Medical Practice LLC

  • Internal Medicine Physician
  • Dracut, MA
  • NPI 1073121489
  Medicare reassignment Care Compare group NPD
• Lowell General Inpatient Specialists PLLC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1649626391
  Medicare reassignment Care Compare group NPD
• Sepulveda & Associates, PC

  • Nephrology Physician
  • Chelmsford, MA
  • NPI 1891992194
  Medicare reassignment NPD Authorized official
• Todays Wellness PLLC

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1891166559
  Medicare reassignment NPD
• Todays Wellness PLLC

  • Cardiac Rehabilitation Registered Nurse
  • North Andover, MA
  • NPI 1073380911
  NPD
• Nephrology Asssociates of the Merrimack Valley PC

  • Nephrology Physician
  • Tewksbury, MA
  • NPI 1700083433
  NPD (past)
• The Lowell General Hospital

  dba Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  NPD (past)

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

• Bio-Medical Applications of Massachusetts, Inc.

  dba Fresenius Medical Care Chelmsford

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chelmsford, MA
  • NPI 1427438688

  Dialysis facility

  Care Compare affiliation Name & address match
• Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
  • NPI 1922103357
  Care Compare affiliation
• The Lowell General Hospital

  dba Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  Care Compare affiliation

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1558343129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NORTH RD",
            "address_2": "SUITE 101",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242755",
            "telephone_number": "978-458-2005",
            "fax_number": "978-452-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 NORTH RD",
            "address_2": "SUITE 101",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242755",
            "telephone_number": "978-458-2005",
            "fax_number": "978-452-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "SEBASTIAN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "204365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PCP",
            "identifier": "1079119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "3100208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "PTAN DD7599",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "409950",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "69813",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA SPECIALIST",
            "identifier": "5895545",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9751581",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0022852",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "51894",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "J22863",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0168211",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Ann Selfridge, FNP-C
• Judith S Seligman, MSW
• Dorothy F Semonian, NP
• Gianna Sencer
• Sepulveda & Associates, PC
• Seven Hills Behavioral Health
• Lisa M Sevigny, M.D.
• Bhumika Shah, RPH
• Himanshu Shah, DMD
• Shaila Associates, Inc

• Nephrology Physician in Chelmsford, MA
• Providers in Chelmsford, MA by specialty
• Nephrology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.