NPIMap

Individual provider Active NPI

Rodrigo Jose Sequeira, MD

  • Surgery Physician
  • Flushing, NY
National Provider Identifier
1982717732
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
158886 Issued in NY
Practice address
5717 138TH St
Flushing, NY 11355-5040
Phone
(718) 458-2681
Fax
(718) 762-5262
NPI assigned
Aug 16, 2006
Last updated
Aug 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 158886 NY Primary

Addresses

Primary practice location

5717 138TH St
Flushing, NY 11355-5040

Mailing address

5717 138TH St
Flushing, NY 11355-5040
Phone (718) 458-2681

Other names 1

  • Dr. Rodrigo Jose Sequeira Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080717000738 NY Practitioner - General Surgery 0042383440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2510 30TH Ave
Astoria, NY 11102-2448
Phone (718) 932-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158886NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Mount Sinai Hospital CurrentSince May 1, 2007 Accepting new patients
Icahn School of Medicine at Mount Sinai Surgery CurrentSince Feb 1, 2021 Accepting new patients
Mount Sinai Hospital CurrentSince May 1, 2007 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 1, 2021 Accepting new patients
Newyork-Presbyterian/Queens Surgery Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
For-Med Medical Past Accepting new patients

Locations

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808

3160 21st St
Long Island City, NY 11106
Phone (718) 808-7300

10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

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 6

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1982717732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 138TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555040",
            "telephone_number": "718-458-2681",
            "fax_number": "718-762-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 138TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555040",
            "telephone_number": "718-458-2681",
            "fax_number": "718-762-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEQUEIRA",
        "first_name": "RODRIGO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "158886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RODRIGO",
            "last_name": "SEQUEIRA",
            "middle_name": "JOSE",
            "prefix": "DR.",
            "credential": "MD FACS PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.