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SEBASTIAN S ROQUE
NPI 1700465788
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 06, 2021PECOS Enrolled
1020 SANSOM ST STE 1651B, PHILADELPHIA, PA 19107(215) 955-9837 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2024, Apr 6, 2021 (2 updates tracked since 2021).

About Sebastian S Roque NPPES

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

SEBASTIAN S ROQUE (NPI 1700465788) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700465788
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSEBASTIAN S ROQUE
Location Address1020 SANSOM ST STE 1651BPhiladelphia, PA 19107-5002
Mailing Address1020 Sansom St Ste 1651bPhiladelphia, PA 19107-5002 · (215) 955-9837
Phone(215) 955-9837
Sole ProprietorNo
Enumeration DateApril 6, 2021
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1700465788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 329834 (NY)
1020 SANSOM ST STE 1651B, Philadelphia, PA 19107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sebastian S Roque 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 Reassignments

3

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

Emergency Physician Services Of New York, P.C.
138 mi
Emergency Medicine
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 356 clinicians in this Medicare group
NPI 1093759847 (845) 483-5000
Exigence Medical Of Binghamton PLLC
153 mi
Emergency Medical Services
169 RIVERSIDE DR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 110 clinicians in this Medicare group
NPI 1659464758 (607) 798-5231
Buffalo Emergency Associates LLP
278 mi
Emergency Medicine
6653 MAIN ST
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 195 clinicians in this Medicare group
NPI 1508816521 (719) 204-4500

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
105 services104 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
32 services32 patients

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.

NATHAN HERSH
Emergency Medicine
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
ERIN NICOLE HOAG
Emergency Medicine
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
BITA MOMENAEI MD
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
ALEXANDER JOSEPH BERGSMAN
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
DR. SABRINA BUTT MD
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
DAWSON JORDAN DUNN MD
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
TATUM STAUFFER DO
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
HAYDEN ALEXANDER TOMLINSON MD
Emergency Medicine
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837

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 Sebastian Roque's NPI number?

The NPI number for Sebastian Roque is 1700465788. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Sebastian Roque located?

Sebastian Roque practices at 1020 Sansom St Ste 1651B, Philadelphia, PA 19107. The listed phone number is (215) 955-9837.

What is Sebastian Roque's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sebastian Roque enrolled in Medicare?

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

Which organizations bill Medicare for Sebastian Roque's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sebastian Roque reassigns Medicare benefits to 3 organizations: Emergency Physician Services Of New York, P.C. (Poughkeepsie, NY), Exigence Medical Of Binghamton PLLC (Binghamton, NY) and Buffalo Emergency Associates LLP (Williamsville, NY). 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 Sebastian Roque's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sebastian Roque was last updated on May 15, 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.