DR. NATALYA MIRIAM SEBASTIAN MD
NPI 1487117016
Family Medicine in Harlingen, TX

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
2222 BENWOOD ST, HARLINGEN, TX 78550(956) 389-2440(956) 389-2439 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2023, Apr 10, 2019 (2 updates tracked since 2019).

About Dr. Natalya Miriam Sebastian Md NPPES

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

DR. NATALYA MIRIAM SEBASTIAN MD (NPI 1487117016) is an individual family medicine provider in Harlingen, Texas, licensed in Texas (U1375) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1487117016
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NATALYA MIRIAM SEBASTIANCredential: MD
Location Address2222 BENWOOD STHarlingen, TX 78550-8532
Mailing Address2222 Benwood StHarlingen, TX 78550-8532 · (956) 389-2448 · Fax (956) 389-2498
Fax(956) 389-2439
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateJanuary 27, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
NPI 1487117016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · U1375
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2222 BENWOOD ST, Harlingen, TX 78550

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Natalya Miriam Sebastian Md 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 ID3971830910
PECOS Enrollment IDI20230221001323
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.

Areas of Expertise CMS Part B claims 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
336 services140 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
290 services140 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
84 services64 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services41 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services36 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
37 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Texas Health Presbyterian Hospital Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450743
Location3000 N I-35Denton, TX 76201 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78550 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2222 BENWOOD ST
HARLINGEN, TX 78550
Family Medicine
2222 BENWOOD ST
HARLINGEN, TX 78550
Family Medicine
2222 BENWOOD ST
HARLINGEN, TX 78550
Family Medicine
2222 BENWOOD ST
HARLINGEN, TX 78550
Family Medicine
2222 BENWOOD ST
HARLINGEN, TX 78550
Family Medicine
2222 BENWOOD ST
HARLINGEN, TX 78550
Family Medicine
2222 BENWOOD ST
HARLINGEN, TX 78550
Family Medicine
2222 BENWOOD ST
HARLINGEN, TX 78550

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 Natalya Sebastian's NPI number?

The NPI number for Natalya Sebastian is 1487117016. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Natalya Sebastian located?

Natalya Sebastian practices at 2222 Benwood St, Harlingen, TX 78550. The listed phone number is (956) 389-2440.

What is Natalya Sebastian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Natalya Sebastian enrolled in Medicare?

Yes. Natalya Sebastian 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.

What insurance does Natalya Sebastian accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Natalya Sebastian 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 Natalya Sebastian affiliated with any hospitals?

According to CMS data, Natalya Sebastian is affiliated with Medical City Denton and Texas Health Presbyterian Hospital Denton.

When was this NPI record last updated?

The NPPES record for Natalya Sebastian was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.