Active NPI
Sebastian J Sciegienka, MD
- Facial Plastic Surgery Physician
- Woodbury, MN
National Provider Identifier
1841784097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 76730
- Practice address
- 217 Radio Dr
Woodbury, MN 55125-5805 - Phone
- (651) 702-0750
- Fax
- (651) 645-6166
- NPI assigned
- Jun 20, 2018
- 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 |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 76730 | MN | Primary |
Addresses
Primary practice location
217 Radio Dr
Woodbury, MN 55125-5805
Mailing address
215 Radio Dr Ste 202
Woodbury, MN 55125-5822
Phone (651) 702-0750
Other practice location 1
3460 Promenade Ave
Eagan, MN 55123-4404
Phone (651) 702-0750
Other practice location 2
3590 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 702-0750
Other practice location 3
11020 161st St W
Lakeville, MN 55044-6507
Phone (651) 702-0750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Otolaryngology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3460 Promenade Ave E
Eagan, MN 55121
Phone (651) 702-0750
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 13 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otolaryngology & Head & Neck Surgery, P.a. | Otolaryngology | Current | Accepting new patients |
Locations
3460 Promenade Ave
Eagan, MN 55123
11020 161st St W
Lakeville, MN 55044
3590 Arcade St
Vadnais Heights, MN 55127
217 Radio Dr
Woodbury, MN 55125
215 Radio Dr
Ste 202
Woodbury, MN 55125
Phone (651) 867-9007
2651 Hillcrest Dr
Ste 302
Hudson, WI 54016
Phone (651) 241-5290
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Woodbury, MN
- NPI 1821195959
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1457319485
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1508457045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1841784097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 RADIO DR STE 202",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551255822",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 RADIO DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551255805",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166"
}
],
"practiceLocations": [
{
"address_1": "3460 Promenade Ave",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "551234404",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3590 Arcade St",
"address_purpose": "LOCATION",
"city": "Vadnais Heights",
"state": "MN",
"postal_code": "551277135",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11020 161st St W",
"address_purpose": "LOCATION",
"city": "Lakeville",
"state": "MN",
"postal_code": "550446507",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCIEGIENKA",
"first_name": "SEBASTIAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "MN",
"license": "76730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.