Milton Jesus Sevilla, M.D., F.A.A.P.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Practice address

14341 New Falls of Neuse Rd.
Suite 122
Ra;Eigh, NC 27614-8292

Phone

(919) 570-7010

Fax

(919) 570-7020

NPI assigned

May 23, 2006

Last updated

Jul 8, 2007By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: milton.sevilla.1@14133.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.

• Wakefield Pediatrics & Adolescent Medicine,P.a.

  • Primary Care Clinic/Center
  • Raleigh, NC
  • NPI 1023190915
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669427183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14341 NEW FALLS OF NEUSE",
            "address_2": "SUITE 122",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148292",
            "telephone_number": "919-570-7010",
            "fax_number": "919-570-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14341 NEW FALLS OF NEUSE RD.",
            "address_2": "SUITE 122",
            "city": "RA;EIGH",
            "state": "NC",
            "postal_code": "276148292",
            "telephone_number": "919-570-7010",
            "fax_number": "919-570-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVILLA",
        "first_name": "MILTON",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89130T6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.