THERESA SEPULVEDA
NPI 1538691969
Internal Medicine - Infectious Disease in Providence, RI

Q: What is Theresa Sepulveda's NPI number?

The NPI number for Theresa Sepulveda is 1538691969. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Q: What is Theresa Sepulveda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Sepulveda was last updated on March 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since April 03, 2017PECOS Enrolled

830 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 273-7100 Get Directions Write a Review

NPPES record last updated: March 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2026, Jul 2, 2024, May 17, 2024 and 1 more (4 updates tracked since 2021).

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About Theresa Sepulveda NPPES

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

THERESA SEPULVEDA (NPI 1538691969) is an individual infectious disease provider in Providence, Rhode Island, licensed in Texas (T0343) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538691969

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameTHERESA SEPULVEDA

Location Address830 CHALKSTONE AVEProvidence, RI 02908-4734

Mailing Address830 Chalkstone AveProvidence, RI 02908-4734

Phone(401) 273-7100

Sole ProprietorYes

Enumeration DateApril 3, 2017

Last NPPES UpdateMarch 14, 20264 updates tracked since enumeration

NPPES CertifiedMarch 14, 2026

✔ NPI 1538691969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in TX · T0343

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License T0343 (TX)

830 CHALKSTONE AVE, Providence, RI 02908

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Theresa Sepulveda 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.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Sepulveda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baylor College Of Medicine

1,576 mi

Family Medicine

1504 TAUB LOOP
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,296 clinicians in this Medicare group

NPI 1053352914 (713) 873-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 20

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

ELIZABETH SEVIN

Social Worker (Clinical)