ALBERT SEBANDAL NP
NPI 1134823354
Nurse Practitioner - Primary Care in Wheeling, IL

Active since March 30, 2023PECOS EnrolledAccepts Medicare Assignment
1823 CARDINAL CT, WHEELING, IL 60090(765) 490-5642 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2024, Mar 30, 2023 (2 updates tracked since 2023).

About Albert Sebandal Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALBERT SEBANDAL NP (NPI 1134823354) is an individual primary care provider in Wheeling, Illinois, licensed in Illinois (209027026) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1134823354
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameALBERT SEBANDALCredential: NP
Location Address1823 CARDINAL CTWheeling, IL 60090-7141
Mailing Address1823 Cardinal CtWheeling, IL 60090-7141 · (765) 490-5642
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 30, 2023
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1134823354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IL · 209027026
1823 CARDINAL CT, Wheeling, IL 60090

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Albert Sebandal Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658736822
PECOS Enrollment IDI20230424002092
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Albert Sebandal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
4712 LAUREL AVE
Glenview, IL 60025
  • Reassigned Medicare billing, Illinois enrollment
  • 48 clinicians in this Medicare group
Internal Medicine
2504 WASHINGTON ST STE 102
Waukegan, IL 60085
  • Reassigned Medicare billing, Illinois enrollment
  • 18 clinicians in this Medicare group
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Illinois enrollment
  • 29 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,059 services236 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
38 services38 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Albert Sebandal's NPI number?

The NPI number for Albert Sebandal is 1134823354. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Albert Sebandal located?

Albert Sebandal practices at 1823 Cardinal Ct, Wheeling, IL 60090. The listed phone number is (765) 490-5642.

What is Albert Sebandal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Albert Sebandal enrolled in Medicare?

Yes. Albert Sebandal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Albert Sebandal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Albert Sebandal reassigns Medicare benefits to 3 organizations: Top Medical Consultants PC (Glenview, IL), Integra Healthcare Sc (Waukegan, IL) and Provider Partners Care Management LP (Columbia, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Albert Sebandal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Albert Sebandal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Albert Sebandal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Albert Sebandal affiliated with any hospitals?

According to CMS data, Albert Sebandal is affiliated with Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Albert Sebandal was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.