NPIMap

Individual provider Active NPI

Andrew J Sebastyan, MD

  • Family Medicine Physician
  • Nashua, NH
National Provider Identifier
1992790745
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
180047 Issued in SC
Practice address
173 Daniel Webster Hwy
Nashua, NH 03060-5256
Phone
(603) 891-4804
NPI assigned
Sep 19, 2005
Last updated
Jan 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2005-00315 NC
Family Medicine Physician 207Q00000X 180047 SC Primary

Addresses

Primary practice location

173 Daniel Webster Hwy
Nashua, NH 03060-5256

Mailing address

PO Box 808
Nashua, NH 03061-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20241205000783 VT Practitioner - Family Practice 1850317934 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Country Hospital and Health Center IncGroup PAC ID 9739073479, shared by 8 NPIs, 50 clinicians

Practice addresses (Care Compare)

488 Elm St
Barton, VT 05822-8637
Phone (802) 525-3539

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-00315NCMDFamily Medicine Physician
180047SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Mar 1, 2015 Accepting new patients
North Country Hospital & Health Center Inc Family Medicine CurrentSince Sep 23, 2024 Accepting new patients
North Country Hospital & Health Center Inc CurrentSince Sep 23, 2024 Accepting new patients
North Country Hospital & Health Center Inc Current Accepting new patients
North Country Hospital & Health Center Inc Current Accepting new patients
St Joseph Hospital of Nashua NH Family Medicine CurrentSince Mar 1, 2015 Accepting new patients

Locations

17 Riverside St
Ste 202
Nashua, NH 03062
Phone (603) 577-5760

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

173 Daniel Webster Hwy
Nashua, NH 03060
Phone (603) 891-4400

488 Elm St
Barton, VT 05822
Phone (802) 525-3539

186 Medical Village Dr
#1
Newport, VT 05855
Phone (802) 334-3262

189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4a15a283-6747-4ef7-984f-ce0e904fd6f0/

Organizations & group practices 6

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 9

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1992790745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030610808",
            "fax_number": "603-595-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 DANIEL WEBSTER HWY",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605256",
            "telephone_number": "603-891-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTYAN",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2005-00315",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "180047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.