Active NPI
Sebastian - Josephkutty, M.D; FCCP.
- Pulmonary Disease Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 167315
- Practice address
- 301 Health Park Blvd
Suite # 326
St Augustine, FL 32086-5793 - Phone
- (904) 824-4532
- Fax
- (904) 824-4024
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 167315 | FL | |
| Pulmonary Disease Physician | 207RP1001X | 167315 | FL | Primary |
Addresses
Primary practice location
301 Health Park Blvd
Suite # 326
St Augustine, FL 32086-5793
Mailing address
301 Health Park Blvd
Suite # 326
St Augustine, FL 32086-5771
Phone (904) 824-4532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255224800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 Health Park Blvd
Saint Augustine, FL 32086-5784
Phone (904) 819-5155
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167315 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Specialists in Lung Diseases & Internal Medicine PA | Internal Medicine | Current | Accepting new patients |
| Robert W Olds MD PA | Current | Accepting new patients |
Locations
301 Health Park Blvd
Ste 326
St Augustine, FL 32086
Phone (904) 819-5155
400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300
Interoperability endpoints
- sjosephkutty742856@direct.shands.ufl.edu
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- St Augustine, FL
- NPI 1982789079
Internal Medicine
-
- Psychiatry Physician
- St Augustine, FL
- NPI 1215123195
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1598840001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 HEALTH PARK BLVD",
"address_2": "SUITE # 326",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865771",
"telephone_number": "904-824-4532",
"fax_number": "904-824-4024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HEALTH PARK BLVD",
"address_2": "SUITE # 326",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865793",
"telephone_number": "904-824-4532",
"fax_number": "904-824-4024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPHKUTTY",
"first_name": "SEBASTIAN",
"middle_name": "-",
"name_prefix": "Dr.",
"credential": "M.D; FCCP.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "167315",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "167315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255224800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
- 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.