Organization provider

MARIO J. SEBASTIANELLI, MD PC

Nephrology Physician Internal Medicine Physician Medicare enrolled

MARIO J. SEBASTIANELLI, MD PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1194723007, based in Dunmore, PA. The organization lists 2 taxonomy classifications, with Nephrology Physician recorded as primary.

Getting there

The practice address on file is 1416 MONROE AVE STE 206, Dunmore, PA 18509. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1416 MONROE AVE STE 206, Dunmore, PA 18509 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD006983E PA Nephrology Physician primary
MD006983E PA Internal Medicine Physician

This provider holds licence MD006983E issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
9739167651

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Nephrology covers

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NUCC Health Care Provider Taxonomy, code 207RN0300X
Allopathic & Osteopathic Physicians Internal Medicine Nephrology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RN0300X Nephrology Physician Nephrology MD006983E PA primary
207R00000X Internal Medicine Physician MD006983E PA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1194723007 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJul 13, 2005
Last updatedAug 6, 2007
StatusActive
Practice address 1416 MONROE AVE
STE 206
Dunmore, PA 18509
(570) 347-5212
Fax (570) 346-4814
Other identifiers 0669080 (PA)
This record was last updated on Aug 6, 2007, roughly 19 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1194723007 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 9 4 7 2 3 0 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 9 4 5 2 6 0 0

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1194723007?
NPI 1194723007 is the National Provider Identifier assigned to MARIO J. SEBASTIANELLI, MD PC in Dunmore, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Nephrology cover?
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
How do I contact MARIO J. SEBASTIANELLI, MD PC?
The phone number on file with NPPES is (570) 347-5212, last updated Aug 6, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does MARIO J. SEBASTIANELLI, MD PC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1194723007 a valid number?
Yes. 1194723007 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.