Active NPI
Antonia Rogado Sepulveda, M.D.
- Anatomic Pathology Physician
- Ny, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 268045
- Practice address
- 630 West 168TH VC14-212
Ny, NY 10032 - Phone
- (412) 647-6125
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD071773L | PA | |
| Anatomic Pathology Physician | 207ZP0101X | 268045 | NY | Primary |
Addresses
Primary practice location
630 West 168TH VC14-212
Ny, NY 10032
Mailing address
630 West 168TH VC14-212
Ny, NY 10032
Phone (412) 647-6125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001829553 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Pecan St SE
Washington, DC 20032-2652
Phone (771) 444-6200
900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000
Hospital & facility affiliations
- George Washington Univ Hospital
- Cedar Hill Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Medical Faculty Associates, Inc | Current | Accepting new patients | |
| Trustees of Columbia University at Palisades Medical Center | Anatomic Pathology | Past | Accepting new patients |
Locations
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024
622 W 168th St
Ph 1564
New York, NY 10032
Phone (212) 305-7399
630 W 168th St
#14212
New York, NY 10032
Phone (412) 647-6125
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
630 W 168th St
#23
New York, NY 10032
630 W 168th St
New York, NY 10032
Phone (212) 305-1948
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Internal Medicine Physician
- New York, NY
- NPI 1861907321
-
- Pediatric Pathology Physician
- North Bergen, NJ
- NPI 1437259322
Anatomic Pathology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
-
- General Acute Care Hospital
- Washington, DC
- NPI 1285492892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1831164110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 WEST 168TH VC14-212",
"city": "NY",
"state": "NY",
"postal_code": "10032",
"telephone_number": "412-647-6125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 WEST 168TH VC14-212",
"city": "NY",
"state": "NY",
"postal_code": "10032",
"telephone_number": "412-647-6125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPULVEDA",
"first_name": "ANTONIA",
"middle_name": "ROGADO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD071773L",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NY",
"license": "268045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001829553",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.