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DR. SEPALIKA WASANTHALAL M.D.
NPI 1386741114
Internal Medicine - Nephrology in Atlantis, FL

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
5053 SOUTH CONGRESS AVE, SUITE 201, ATLANTIS, FL 33462(561) 357-9060(561) 357-9460 Get Directions Write a Review

NPPES record last updated: September 17, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sepalika Wasanthalal M.d. NPPES

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

DR. SEPALIKA WASANTHALAL M.D. (NPI 1386741114) is an individual nephrology provider in Atlantis, Florida, licensed in Florida (ME0067628) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1386741114
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SEPALIKA WASANTHALALCredential: M.D.
Location Address5053 SOUTH CONGRESS AVE, SUITE 201Atlantis, FL 33462
Mailing Address460 Pine Hollow LnWest Palm Beach, FL 33413-2255 · (561) 684-6129 · Fax (561) 357-9460
Phone(561) 357-9060
Fax(561) 357-9460
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 17, 2007
✔ NPI 1386741114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME0067628
Definition
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.
5053 SOUTH CONGRESS AVE, Atlantis, FL 33462
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF53459
Medicare ID-Type Unspecified28936
Medicaid2451100200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Sepalika Wasanthalal M.d. 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 ID6204924681
PECOS Enrollment IDI20071119000337
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

4

Medicare enrollment records show Sepalika Wasanthalal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Group Of The Palm Beaches PA
0.3 mi
Internal Medicine
5301 S CONGRESS AVE
Atlantis, FL 33462
  • Reassigned Medicare billing, Florida enrollment
  • 66 clinicians in this Medicare group
NPI 1801249990 (561) 965-7300
Accountable Care Hospitalist Group
7.9 mi
Internal Medicine
10101 FOREST HILL BLVD
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 265 clinicians in this Medicare group
NPI 1659640282 (561) 766-1300
Qmc LLC
58 mi
Hospitalist
5201 BLUE LAGOON DR FL 89
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 183 clinicians in this Medicare group
NPI 1003216391 (305) 554-1700
Inpatient Consultants Of Florida Inc
178 mi
Hospitalist
3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1457511164 (813) 936-5000

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 5

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
130 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
114 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
105 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
28 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33462 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 Sepalika Wasanthalal's NPI number?

The NPI number for Sepalika Wasanthalal is 1386741114. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Sepalika Wasanthalal located?

Sepalika Wasanthalal practices at 5053 South Congress Ave Suite 201, Atlantis, FL 33462. The listed phone number is (561) 357-9060.

What is Sepalika Wasanthalal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sepalika Wasanthalal enrolled in Medicare?

Yes. Sepalika Wasanthalal 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 Sepalika Wasanthalal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sepalika Wasanthalal reassigns Medicare benefits to 4 organizations: Hospitalist Group Of The Palm Beaches PA (Atlantis, FL), Accountable Care Hospitalist Group (Wellington, FL), Qmc LLC (Miami, FL) and Inpatient Consultants Of Florida Inc (Tampa, FL). 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 Sepalika Wasanthalal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sepalika Wasanthalal accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers list Sepalika Wasanthalal 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 Sepalika Wasanthalal affiliated with any hospitals?

According to CMS data, Sepalika Wasanthalal is affiliated with Hca Florida Jfk Hospital.

When was this NPI record last updated?

The NPPES record for Sepalika Wasanthalal was last updated on September 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.