NPIMap

Individual provider Active NPI

Josh Sebag

  • Foot & Ankle Surgery Podiatrist
  • Port St Lucie, FL
National Provider Identifier
1881127348
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4083 Issued in FL
Practice address
7710 S US Highway 1
Port St Lucie, FL 34952-2320
Phone
(772) 335-3500
Fax
(772) 200-2131
NPI assigned
Apr 11, 2017
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X PO4083 FL Primary

Addresses

Primary practice location

7710 S US Highway 1
Port St Lucie, FL 34952-2320

Mailing address

3009 Aloma Ave
Winter Park, FL 32792-3701
Phone (407) 657-9188

Other identifiers 1

IdentifierTypeStateIssuer
PO4083OtherFLSTATE PODIATRY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL GloStreamTriarq

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200724001236 FL Practitioner - Podiatry 7315361201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7710 S US Hwy 1
Port St Lucie, FL 34952-2320
Phone 77233553002015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopaedics & Sports Medicine Center Multi-Specialty CurrentSince Aug 1, 2020 Accepting new patients
Coastal Orthopaedics & Sports Medicine Center CurrentSince Aug 1, 2020 Accepting new patients

Locations

7710 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 335-5300

2221 SE Ocean Blvd
Ste 200
Stuart, FL 34996
Phone (772) 219-4096

Interoperability endpoints

  • Direct secure messaging: joshsebag@cos.directglo.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1881127348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923701",
            "telephone_number": "407-657-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349522320",
            "telephone_number": "772-335-3500",
            "fax_number": "772-200-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBAG",
        "first_name": "JOSH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PODIATRY LICENSE",
            "identifier": "PO4083",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "GloStreamTriarq",
            "affiliation": "N",
            "address_1": "7710 S US Highway 1",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349522320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.