Dr James E Sedlis, MD - Medicare Family Practice in Alabaster, AL

Dr James E Sedlis, MD is a medicare enrolled "Pediatrics" physician in Alabaster, Alabama. He went to New York Medical College and graduated in 1995 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lemak Sports Medicine Llc and his current practice location is 831 1st St N, Alabaster, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 358-9120.

Dr James E Sedlis is licensed to practice in Alabama (license number MD.21842) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730176553.

Contact Information

831 1st St N
Alabaster
AL 35007-8944
(205) 358-9120
(205) 358-9121

Map and Direction




Physician's Profile

Full NameDr James E Sedlis
GenderMale
SpecialityFamily Practice
Experience23 Years
LocationAlabaster, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James E Sedlis attended and graduated from New York Medical College in 1995
  NPI Data:
  • NPI Number: 1730176553
  • Provider Enumeration Date: 10/06/2005
  • Last Update Date: 12/08/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5193962439
  • Enrollment ID: I20130506000353

Medical Identifiers

Medical identifiers for Dr James E Sedlis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730176553NPI-NPPES
511-08796OtherALBCBS
511-09867OtherALBCBS
009917380MedicaidAL
009943990MedicaidAL
1730176553OtherALTRICARE SOUTH
H28492OtherALVIVA HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD.21842 (Alabama)Secondary
208000000XPediatrics MD.21842 (Alabama)Primary
208000000XPediatrics 046936 (Connecticut)Secondary
2080S0010XPediatrics - Sports Medicine 046936 (Connecticut)Secondary

Hospital Affiliation

Hospital NameLocationType
Shelby Baptist Medical CenterAlabaster, ALAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lemak Sports Medicine Llc529481159213

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James E Sedlis allows following entities to bill medicare on his behalf.
Entity NameLemak Sports Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972780757
PECOS PAC ID: 5294811592
Enrollment ID: O20080327000140

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James E Sedlis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Medicare Quality Measures

Quality ProgramParticipation
Reported to Medicare Physician Quality Reporting System (PQRS) No
Used Electronic Health Record (EHR) No
Committed to heart health through the Million Hearts Initiative No

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James E Sedlis, MD
2316 1st Ave S
Birmingham
AL 35233-2414

Ph: (205) 329-7519
Dr James E Sedlis, MD
831 1st St N
Alabaster
AL 35007-8944

Ph: (205) 358-9120

Reviews and Comments

Pediatrics Doctors in Alabaster, AL

Annette Cosgrove, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1022 1st St N, Suite 102, Alabaster, AL 35007
Phone: 205-663-9550    Fax: 205-620-0864
Dr. Patti Jeanette Schroder, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 122 7th Avenue Ne, Suite B, Alabaster, AL 35007
Phone: 205-216-0157    Fax: 205-216-0161
Dr. Clayton Buie, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1022 1st St N, Suite 102, Alabaster, AL 35007
Phone: 205-663-9550    Fax: 205-620-0864
Holly Beth Johnson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1004 1st St N, Suite 370, Alabaster, AL 35007
Phone: 205-663-5547    Fax: 205-663-1990
Joe Frank Sharp, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1022 First Street North, Suite 102, Alabaster, AL 35007
Phone: 205-663-9550    Fax: 205-620-0864
Kami Blair Sester, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1022 1st St N, Suite 102, Alabaster, AL 35007
Phone: 205-663-9550    Fax: 205-620-0864
Dr. Stephen Andrew Wright, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1022 1st St N, Suite 102, Alabaster, AL 35007
Phone: 205-663-9550    Fax: 205-620-0864

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.