Active NPI
Roy Sebastian, MD
- Student in an Organized Health Care Education/Training Program
- Baltimore, MD
National Provider Identifier
1740866441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- D0102446
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1590 - Phone
- (214) 930-7527
- NPI assigned
- Mar 22, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | D0102446 | MD | Primary |
| Family Medicine Physician | 207Q00000X | V5601 | TX |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1590
Mailing address
22 S Greene St
Baltimore, MD 21201-1590
Phone (410) 328-1239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V5601 | TX | MD | Family Medicine Physician |
| D0102446 | MD | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Nuvmed PLLC | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
Locations
1821 Hillandale Rd
Ste 24B
Durham, NC 27705
Phone (919) 383-5437
1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355
10211 Alm St
Ste 1100
Raleigh, NC 27617
Phone (919) 385-1160
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1316975972
Family Medicine
-
- Pain Clinic/Center
- Frisco, TX
- NPI 1528902822
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1710120795
Family Medicine
-
- Emergency Medicine Physician
- Durham, NC
- NPI 1780612713
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775347200000",
"number": "1740866441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011590",
"telephone_number": "410-328-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011590",
"telephone_number": "214-930-7527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBASTIAN",
"first_name": "ROY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-22",
"last_updated": "2026-04-05",
"certification_date": "2026-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MD",
"license": "D0102446",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "V5601",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.