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SEBNEM OZDOGAN M.D.
NPI 1912188053
Pediatrics - Pediatric Pulmonology in Modesto, CA

Active since November 16, 2007PECOS Enrolled
3525 PELANDALE AVE, MODESTO, CA 95356(209) 572-3880(209) 572-3349 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2024, Aug 6, 2020 (2 updates tracked since 2020).

About Sebnem Ozdogan M.d. NPPES

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

SEBNEM OZDOGAN M.D. (NPI 1912188053) is an individual pediatric pulmonology provider in Modesto, California, licensed in California (A94693) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1912188053
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameSEBNEM OZDOGANCredential: M.D.
Location Address3525 PELANDALE AVEModesto, CA 95356-9781
Mailing Address9300 Valley Childrens PlMadera, CA 93636-8761 · (559) 353-5700 · Fax (559) 353-3708
Phone(209) 572-3880
Fax(209) 572-3349
Sole ProprietorNo
Enumeration DateNovember 16, 2007
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1912188053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Licenses✔ Licensed in CA · A94693✔ Licensed in NH · 33328
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
3525 PELANDALE AVE, Modesto, CA 95356
Open in Google Maps ↗

Secondary Practice Locations 3

Location 19300 Valley Childrens PlMadera, CA 93636-8761 · Phone (559) 353-5550 · Fax (559) 353-5587
Location 2100 Hitchcock WayManchester, NH 03104-4125 · Phone (603) 695-2500
Location 31 Medical Center DrLebanon, NH 03756-0001 · Phone (603) 650-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care 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)

Sebnem Ozdogan M.d. 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 Sebnem Ozdogan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Children's Medical Group
4.4 mi
Pediatrics
1524 MCHENRY AVE, SUITE 550
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Valley Childrens Medical Group
  • 387 clinicians in this Medicare group
NPI 1437555265 (559) 353-5010
Dartmouth-Hitchcock Clinic
2,557 mi
Rehabilitation, Substance Use Disorder
7 DUNNING ST
Claremont, NH 03743
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
NPI 1891648952 (603) 542-7771
Mary Hitchcock Memorial Hospital
2,558 mi
General Acute Care Hospital
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
NPI 1023092053 (603) 650-5000

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

Other Providers at the Same Location NPPES 3

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

MARIA ISABEL CERVANTES
Nurse Practitioner (Family)
3525 PELANDALE AVE
MODESTO, CA 95356
Stanislaus County (209) 572-3880
MRS. TERRI DENISE BERGER CPNP
Nurse Practitioner (Pediatrics)
3525 PELANDALE AVE
MODESTO, CA 95356
Stanislaus County (559) 572-3880
ETHEL GONZALES CLEMENTE M.D.
Pediatrics (Pediatric Endocrinology)
3525 PELANDALE AVE
MODESTO, CA 95356
Stanislaus County (559) 572-3880

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 Sebnem Ozdogan's NPI number?

The NPI number for Sebnem Ozdogan is 1912188053. It was assigned to this individual provider in the NPPES registry on November 16, 2007.

Where is Sebnem Ozdogan located?

Sebnem Ozdogan practices at 3525 Pelandale Ave, Modesto, CA 95356. The listed phone number is (209) 572-3880.

What is Sebnem Ozdogan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Sebnem Ozdogan enrolled in Medicare?

Yes. Sebnem Ozdogan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sebnem Ozdogan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sebnem Ozdogan reassigns Medicare benefits to 3 organizations: Valley Children's Medical Group (Modesto, CA), Dartmouth-Hitchcock Clinic (Claremont, NH) and Mary Hitchcock Memorial Hospital (Lebanon, NH). 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 Sebnem Ozdogan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sebnem Ozdogan accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Sebnem Ozdogan 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 Sebnem Ozdogan was last updated on September 11, 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.