Sebastian A Patellis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S04171 Issued in MD

Practice address

2850 N Ridge Rd Ste 107
Ellicott City, MD 21043-3396

Phone

(410) 376-8807

NPI assigned

Feb 23, 2023

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: sebastian.patellis.1@8042.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 and National Provider Directory roles.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400
  NPD (past)

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1821796327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N RIDGE RD STE 107",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433396",
            "telephone_number": "410-376-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N RIDGE RD STE 107",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433396",
            "telephone_number": "410-376-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATELLIS",
        "first_name": "SEBASTIAN",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "S04171",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patapsco Valley Family Counseling Associates, Inc
• Bhavesh Patel
• Darshn Patel
• Sameer R. Patel, M.D.
• Yatin J Patel, MD
• Shena Patterson
• Sierra Nicole Patterson, LCPC
• Lauren A Paulsen, SPT
• Peace 4 Minds, P.C.
• Peake Family Chiropractic, LLC

• Chiropractor in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.