Gabriel Martin Sevalie

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R173970 Issued in MD

Practice address

4211 Sugar Pine CT
Burtonsville, MD 20866-1153

Phone

(240) 421-2538

NPI assigned

Dec 11, 2020

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

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bowie, MD
  • NPI 1093130924

  DC

  Medicare reassignment NPD
• Ravi Passi MD PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Rockville, MD
  • NPI 1447229281

  DC

  Medicare reassignment NPD
• MNR Industries LLC

  • Urgent Care Clinic/Center
  • Mount Airy, MD
  • NPI 1073963146
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Upper Marlboro, MD
  • NPI 1194195008
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1457478703
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Nottingham, MD
  • NPI 1629252549
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1649089418
  NPD
• Tomics Medical LLC

  • Primary Care Clinic/Center
  • Beltsville, MD
  • NPI 1689383572
  NPD (past)

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1922604115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 SUGAR PINE CT",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661153",
            "telephone_number": "240-421-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 SUGAR PINE CT",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661153",
            "telephone_number": "240-421-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVALIE",
        "first_name": "GABRIEL",
        "middle_name": "MARTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R173970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Schwartz-Mitchell, PHD
• Ashley Sen, PT, DPT
• Richlove Serfour-Arhin
• Shannon Serrano
• Antonia Marie Sevalie
• Shannon Your Doula LLC
• Shaping
• Emmanuel Adeyemi Shaw, LPN
• Mon Fong Sheik, D.M.D.
• Madhuri Shenker, L.AC

• Nurse Practitioner in Burtonsville, MD
• Providers in Burtonsville, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.

Verify at the official NPI Registry.