DR. LUDONIR SEBASTIANY (MD, MS) – Family Medicine Physician, NPI 1104485606

DR. LUDONIR SEBASTIANY (MD, MS) is a healthcare provider. based in Miami, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD, MS. They hold a License No. ME164845 (FL). The NPI Number for DR. LUDONIR SEBASTIANY (MD, MS) is 1104485606

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. LUDONIR SEBASTIANY (MD, MS)
NPI
1104485606
Phone
(305) 587-6408
Address
12365 SW 151ST ST APT 301C
Enumeration Date
7 June 2019
Last Update Date
4 April 2024

Doctor Profile

Medical School Name
FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7272320644
Graduation Year
2019 (7 years ago)
PAC ID
1456735380
Group Practice PAC ID
4688685654
Professional Enrollment ID
I20231229001153
Address ID
FL34653XXXXNEXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. LUDONIR SEBASTIANY (MD, MS)

  • 12365 SW 151ST ST APT 301C

    MIAMI, FL 331868702

    Phone: (305) 587-6408

    Type: Mailing

  • Southwest 216th Street, Cutler Bay, Miami-Dade County, Florida, 33170, United States

    CUTLER BAY, FL 331901003

    Phone: (305) 253-5100

    Type: Location

  • 499 Alternate Keene Road

    Largo, FL 33771

    Phone: (855) 232-0644

    Fax: (888) 546-0488

    Type: Location

  • 6804 CECELIA DRIVE

    NEW PORT RICHEY, FL 346534935

    Phone: (855) 232-0644

    Fax: (888) 546-0488

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2023-02-09 • Largest payer in this snapshot: PFIZER INC. ($95).

Total Amount

$95

General + Research + Ownership

Payments

1

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$95
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231229001153IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33186)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688685654View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
-FL
-FL
Nurse PractitionerFL
-FL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantNY
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is DR. LUDONIR SEBASTIANY (MD, MS) identified in CMS data?
CMS-hosted NPPES data lists DR. LUDONIR SEBASTIANY (MD, MS) with NPI 1104485606.
Can I rely on DR. LUDONIR SEBASTIANY (MD, MS) being an active provider?
As of the registry snapshot, DR. LUDONIR SEBASTIANY (MD, MS) is marked active.
What is DR. LUDONIR SEBASTIANY (MD, MS)'s specialty?
The listing groups DR. LUDONIR SEBASTIANY (MD, MS) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. LUDONIR SEBASTIANY (MD, MS) list a practice location?
Patients near Miami, Florida may find DR. LUDONIR SEBASTIANY (MD, MS) in results; validate coverage separately.
Why does DR. LUDONIR SEBASTIANY (MD, MS) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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