Individual provider Active NPI

Michael F. Sedlak, M.D.

  • Urology Physician
  • New Braunfels, TX
National Provider Identifier
1578524955
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
M7608 Issued in TX
Practice address
876 Loop 337
#302
New Braunfels, TX 78130
Phone
(830) 625-8088
Fax
(830) 629-9215
NPI assigned
Mar 28, 2006
Last updated
Mar 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD-055513-L PA
Urology Physician 208800000X M7608 TX Primary

Addresses

Primary practice location

876 Loop 337
#302
New Braunfels, TX 78130

Mailing address

876 Loop 337
#302
New Braunfels, TX 78130
Phone (830) 625-8088

Other identifiers 9

IdentifierTypeStateIssuer
000000075924OtherPAMEDPLUS
0016499110003MedicaidPA
990006365OtherPATRAVELER'S RAILROAD MEDIC
20010385OtherPAAMERIHEALTH MERCY
01042701OtherDCCAPITAL BLUE CROSS
2Y8350OtherPAHEALTHNET
34369OtherPABLUE SHIELD
505911OtherPAAETNA USHEALTHCARE
24372 6365OtherPAGEISINGER HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080515000171 TX Practitioner - Urology 8123197217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
St. Louis College of Physicians and Surgeons, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000

1301 Wonder World Dr
San Marcos, TX 78666-7533
Phone (512) 353-8979

2648 Loop
Suite 337
New Braunfels, TX 78130-8503
Phone (803) 730-5953

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

4103 N Loop 1604
San Antonio, TX 78249-1380
Phone (210) 541-8689

520 Madison Oak Dr
San Antonio, TX 78258-3913
Phone (210) 297-4000

540 Madison Oak Dr
San Antonio, TX 78258-3943
Phone (210) 798-4311

555 Creekside Xing
New Braunfels, TX 78130-2594
Phone (830) 387-5270

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (830) 606-9111

602 31St St
Hondo, TX 78861-3512
Phone (830) 741-4677

606 31St St
Hondo, TX 78861-3512
Phone (210) 403-2926

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-055513-LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Urologic Associates Specialist Current Accepting new patients
BHS Physicians Network, Inc CurrentSince Sep 10, 2020 Accepting new patients
BHS Physicians Network, Inc CurrentSince Sep 10, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

423 3rd Ave
Ste B
Kingston, PA 18704
Phone (570) 288-3601

876 Loop 337
Ste 302
New Braunfels, TX 78130
Phone (830) 625-8008

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

540 Madison Oak Dr
Ste 400
San Antonio, TX 78258
Phone (210) 402-3456

Interoperability endpoints

  • Direct secure messaging: michael.sedlak.1@1438.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1578524955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 LOOP 337",
            "address_2": "#302",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-625-8088",
            "fax_number": "830-629-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 LOOP 337",
            "address_2": "#302",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-625-8088",
            "fax_number": "830-629-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDLAK",
        "first_name": "MICHAEL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD-055513-L",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "M7608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "000000075924",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016499110003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELER'S RAILROAD MEDIC",
            "identifier": "990006365",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20010385",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01042701",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Y8350",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "34369",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHEALTHCARE",
            "identifier": "505911",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "24372 6365",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.