JAMES MARK SEBGHATI MD
NPI 1770536914
Internal Medicine in Olathe, KS

Q: What is James Sebghati's NPI number?

The NPI number for James Sebghati is 1770536914. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is James Sebghati's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for James Sebghati was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment

75.28/100

CMS Quality Rating

20805 W 151ST ST, SUITE 224, OLATHE, KS 66061(913) 782-8300(913) 782-1574 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About James Mark Sebghati Md NPPES

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

JAMES MARK SEBGHATI MD (NPI 1770536914) is an individual internal medicine provider in Olathe, Kansas, licensed in Kansas (0428720) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1994).

NPPES Registry Identity

NPI1770536914

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAMES MARK SEBGHATICredential: MD

Location Address20805 W 151ST ST, SUITE 224Olathe, KS 66061-7249

Mailing Address20805 W 151st St, Suite 224Olathe, KS 66061-7249 · (913) 782-8300 · Fax (913) 782-1574

Phone(913) 782-8300

Fax(913) 782-1574

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1994

Enumeration DateMay 18, 2006

Last NPPES UpdateSeptember 22, 2011

✔ NPI 1770536914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KS · 0428720

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

20805 W 151ST ST, Olathe, KS 66061

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Other Identifiers 3

Medicare UPING63281

Medicaid100366370CKS

Medicare PIN033A602DKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

James Mark Sebghati 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 ID9931148939

PECOS Enrollment IDI20050429000347

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 11

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 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.

232 services124 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.

226 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.

120 services91 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

106 services106 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

77 services77 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

64 services45 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

18 services18 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.

18 services17 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

18 services18 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

17 services15 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number170040

Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County

Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170049

Location20333 West 151st StreetOlathe, KS 66061 · Johnson County

Emergency services Birthing friendly

Miami County Medical Center

Acute Care Hospitals · La Cygne, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number170109

Location1017 E Market St, Ohfm LacygneLa Cygne, KS 66040 · Linn County

Emergency services

Kansas City Orthopaedic Institute

Acute Care Hospitals · Leawood, KS

OwnershipPhysician

CMS Certification Number170188

Location3651 College BlvdLeawood, KS 66211 · Johnson County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66061 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.71

Promoting Interoperability

Improvement Activities

Cost

49.22

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers21 claims52 services$6.63 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers12 claims12 services$2.66 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers14 claims15 services$1.21 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers14 claims14 services$45.80 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers20 claims20 services$9.99 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

7 suppliers22 claims132 services$1.67 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

THOMAS BALDWIN MD

Internal Medicine (Interventional Cardiology)

20805 W 151ST ST, BUILDING 2 SUITE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

HOWARD YONGHWAN LEE D.O.

Internal Medicine (Cardiovascular Disease)

20805 W 151ST ST, SUITE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

ANGELINA MARIE BATES APRN

Nurse Practitioner

20805 W 151ST ST, SUITE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

JOYCE A SCHOFIELD M.D.

Internal Medicine

20805 W 151ST ST, SUITE 224
OLATHE, KS 66061

Johnson County (913) 782-8300

SHAWNA LEE VANLEEUWEN APRN

Nurse Practitioner

20805 W 151ST ST, SUITE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

STEVEN D OBERMUELLER MD

Internal Medicine (Cardiovascular Disease)

20805 W 151ST ST, BLDG 2 STE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

DR. RAVI K YARLAGADDA M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

20805 W 151ST ST, BUILDING 2, SUITE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

RANGARAO TUMMALA MD

Internal Medicine (Clinical Cardiac Electrophysiology)

20805 W 151ST ST, BUILDING 2 SUITE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

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 James Sebghati's NPI number?

The NPI number for James Sebghati is 1770536914. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is James Sebghati located?

James Sebghati practices at 20805 W 151st St Suite 224, Olathe, KS 66061. The listed phone number is (913) 782-8300.

What is James Sebghati's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Sebghati enrolled in Medicare?

Yes. James Sebghati 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 James Sebghati accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list James Sebghati 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 James Sebghati affiliated with any hospitals?

According to CMS data, James Sebghati is affiliated with University Of Kansas Hospital, Olathe Medical Center, Miami County Medical Center and Kansas City Orthopaedic Institute.

When was this NPI record last updated?

The NPPES record for James Sebghati was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.