Individual provider

Sony Sebastian, D.O.

Emergency Medicine Physician Family Medicine Physician Hospitalist Physician Medicare enrolled

Sony Sebastian, D.O. is a Hospitalist Physician in Ashland, KY, registered under NPI 1396165866. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2201 LEXINGTON AVE, Ashland, KY 41101. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2201 LEXINGTON AVE, Ashland, KY 41101 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
04143 KY Emergency Medicine Physician
04143 KY Family Medicine Physician
04143 KY Hospitalist Physician primary

This provider holds licence 04143 issued in KY. 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
Practitioner - Emergency Medicine
PAC ID
0749402758
Enrollment ID
I20170829004464

Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Hospitalist covers

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. NUCC Health Care Provider Taxonomy, code 208M00000X
Allopathic & Osteopathic Physicians Hospitalist

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207P00000X Emergency Medicine Physician 04143 KY
207Q00000X Family Medicine Physician 04143 KY
208M00000X Hospitalist Physician 04143 KY primary

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-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1396165866 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 23, 2014
Last updatedDec 14, 2020
StatusActive
Sole proprietorNo
GenderMale
CredentialD.O.
Practice address 2201 LEXINGTON AVE
Ashland, KY 41101
(606) 408-4000
Fax (606) 408-6825
Mailing address PO BOX 2379
Ashland, KY 41105
The last update on file is Dec 14, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1396165866 passes the NPI check digit test The final digit 6 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 3 9 6 1 6 5 8 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 9 6 2 6 1 8 3

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

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 1396165866?
NPI 1396165866 is the National Provider Identifier assigned to Sony Sebastian, D.O. in Ashland, KY. 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 Hospitalist Physician cover?
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for…
How do I contact Sony Sebastian, D.O.?
The phone number on file with NPPES is (606) 408-4000, last updated Dec 14, 2020. 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 Sony Sebastian, D.O. 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 1396165866 a valid number?
Yes. 1396165866 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.