SIBY SEBASTIAN (MD) – Family Medicine Physician, NPI 1801864053

SIBY SEBASTIAN (MD) is a healthcare provider. based in Louisville, Kentucky. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 38777 (KY). The NPI Number for SIBY SEBASTIAN (MD) is 1801864053

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
SIBY SEBASTIAN (MD)
NPI
1801864053
Phone
(270) 348-1080
Address
17002 ASH HILL DR
Enumeration Date
12 March 2006
Last Update Date
11 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
60678762751167
Graduation Year
2001 (25 years ago)
PAC ID
1355330267
Group Practice PAC ID
0749193423
Professional Enrollment ID
I20040506001645
Address ID
KY425393278LI187XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

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Provider Addresses for SIBY SEBASTIAN (MD)

  • 17002, Ash Hill Drive, Boston, Louisville, Jefferson County, Kentucky, 40245, United States

    LOUISVILLE, KY 402456101

    Phone: (270) 348-1080

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ANI Pharmaceuticals, Inc. ($62).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-05-06

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
I20040506001645IEmergency MedicineKYTBD

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 40245)

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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: 0749193423View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineNJ
-KY
Nurse PractitionerKY
Diagnostic RadiologyKY
Emergency Medicine, Internal MedicineKY
Internal MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
Family PracticeKY

Reviews

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Frequently asked questions

Can I verify SIBY SEBASTIAN (MD) with an NPI only?
You can start verification with NPI 1801864053 for SIBY SEBASTIAN (MD), then check state licensing separately.
Is SIBY SEBASTIAN (MD) listed as active for patients and plans?
The listing shows SIBY SEBASTIAN (MD) as active in the NPI system.
What healthcare role does SIBY SEBASTIAN (MD) hold?
Scheduling teams often label SIBY SEBASTIAN (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect SIBY SEBASTIAN (MD) on a map?
Expect Louisville, Kentucky as a primary anchor for SIBY SEBASTIAN (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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