Active NPI
John C Sefton, DO
- Family Medicine Physician
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34004130
- Practice address
- 2510 Commons Blvd
Suite 110
Beavercreek, OH 45431-3820 - Phone
- (937) 490-0123
- Fax
- (937) 306-7536
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34004130 | OH | Primary |
Addresses
Primary practice location
2510 Commons Blvd
Suite 110
Beavercreek, OH 45431-3820
Mailing address
2510 Commons Blvd
Suite 110
Beavercreek, OH 45431-3820
Phone (937) 490-0125
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 635459 | Other | OH | AETNA |
| D0413004 | Other | OH | HUMANA/CHOICECARE |
| 080191718 | Other | OH | RAILROAD MEDICARE |
| 000000227879 | Other | OH | UNICARE |
| 421534506059 | Other | OH | CARESOURCE |
| 0678020 | Medicaid | OH | |
| 0120590 | Other | OH | UNITED HEALTHCARE |
| 000000227879 | Other | OH | ANTHEM |
| 34004130S | Other | OH | MEDICAL LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsefton194177@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534
2510 Commons Blvd
Suite 110
Beavercreek, OH 45431-3821
Phone (937) 490-0123
3095 Dayton Xenia Rd
Suite 100
Beavercreek, OH 45434-4310
Phone (937) 531-7902
Hospital & facility affiliations
- Kettering Homecare
- Fidelity Health Care
- Ohioans Home Healthcare, Inc
- Kettering Health Dayton
- Kettering Health Main Campus
- Soin Medical Center
- Kettering Health Greene Memorial
- Miami Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004130 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Family Medicine | Current | Accepting new patients |
| Alliance Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Echoing Hills Village, Inc. | Past | Accepting new patients | |
| Echoing Hills Village, Inc. | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2510 Commons Blvd
Ste 110
Beavercreek, OH 45431
Phone (937) 427-3333
3095 Dayton Xenia Rd
Ste 100
Dayton, OH 45434
Phone (937) 531-7902
7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- Family Medicine Physician
- Fairfield, OH
- NPI 1922355999
-
- Intellectual Disabilities Intermediate Care Facility
- Dayton, OH
- NPI 1568522092
-
- Intellectual Disabilities Intermediate Care Facility
- Dayton, OH
- NPI 1831251842
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kettering, OH
- NPI 1639195332
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- Home Health Agency
- Moraine, OH
- NPI 1235127838
-
- General Acute Care Hospital
- Xenia, OH
- NPI 1255317848
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- Home Health Agency
- Washington Township, OH
- NPI 1669782140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1679559470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 COMMONS BLVD",
"address_2": "SUITE 110",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313820",
"telephone_number": "937-490-0125",
"fax_number": "937-306-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 COMMONS BLVD",
"address_2": "SUITE 110",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313820",
"telephone_number": "937-490-0123",
"fax_number": "937-306-7536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEFTON",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34004130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "635459",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA/CHOICECARE",
"identifier": "D0413004",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080191718",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "000000227879",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "421534506059",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0678020",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0120590",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000227879",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "34004130S",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsefton194177@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "2510 Commons Blvd",
"address_2": "Suite 110",
"city": "Beavercreek",
"state": "OH",
"country_code": "US",
"postal_code": "454313820",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2510 Commons Blvd",
"address_2": "Suite 110",
"city": "Beavercreek",
"state": "OH",
"country_code": "US",
"postal_code": "454313820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.