SIBY SEBASTIAN
NPI 1528757374
Nurse Practitioner - Family in Galveston, TX

Active since May 05, 2023PECOS Enrolled
1005 HARBORSIDE DR 6TH FL, GALVESTON, TX 77555(409) 772-0750(409) 747-0777 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2024, Oct 11, 2023, May 5, 2023 (3 updates tracked since 2023).

About Siby Sebastian NPPES

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

SIBY SEBASTIAN (NPI 1528757374) is an individual family provider in Galveston, Texas, licensed in Texas (1036017) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528757374
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSIBY SEBASTIAN
Location Address1005 HARBORSIDE DR 6TH FLGalveston, TX 77555-5302
Mailing Address5923 Story Book TrlMissouri City, TX 77459-3522 · (281) 725-1024
Fax(409) 747-0777
Sole ProprietorNo
Enumeration DateMay 5, 2023
Last NPPES UpdateApril 19, 20243 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
NPI 1528757374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1036017
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1036017 (TX)
1005 HARBORSIDE DR 6TH FL, Galveston, TX 77555

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 (PECOS)

Siby Sebastian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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.
55 services46 patients
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.
47 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 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.
21 services16 patients
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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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
$88.24 typical visit price
range $57.19 – $173.07
Typical copayment $22.06 (range $14.29 – $43.26)
Most-billed visit code 99203
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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 5

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

Nurse Practitioner (Family)
1005 HARBORSIDE DR 6TH FL
GALVESTON, TX 77555
Internal Medicine (Infectious Disease)
1005 HARBORSIDE DR 6TH FL
GALVESTON, TX 77555
Internal Medicine (Clinical Cardiac Electrophysiology)
1005 HARBORSIDE DR 6TH FL
GALVESTON, TX 77555
Physician Assistant
1005 HARBORSIDE DR 6TH FL
GALVESTON, TX 77555
Internal Medicine (Cardiovascular Disease)
1005 HARBORSIDE DR 6TH FL
GALVESTON, TX 77555

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 Siby Sebastian's NPI number?

The NPI number for Siby Sebastian is 1528757374. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Siby Sebastian located?

Siby Sebastian practices at 1005 Harborside Dr 6th Fl, Galveston, TX 77555. The listed phone number is (409) 772-0750.

What is Siby Sebastian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Siby Sebastian enrolled in Medicare?

Yes. Siby Sebastian is registered in the Medicare PECOS enrollment system.

What insurance does Siby Sebastian accept?

Health plans from Oscar Insurance Company list Siby 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.

When was this NPI record last updated?

The NPPES record for Siby Sebastian was last updated on April 19, 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.