Individual provider Active NPI

Sebastian - Josephkutty, M.D; FCCP.

  • Pulmonary Disease Physician
  • St Augustine, FL
National Provider Identifier
1598840001
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
167315 Issued in FL
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
255224800MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051006000072 FL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep Medicine 9638104904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine, Sleep Medicine
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

LicenseStateTypeSpecialty
167315FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Specialists in Lung Diseases & Internal Medicine PA Internal Medicine CurrentSince Jun 29, 2005 Accepting new patients
Robert W Olds MD PA CurrentSince Jul 7, 2005 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.