DR. MONICA J SESTOPAL EPELMAN MD
NPI 1043283385
Radiology - Pediatric Radiology in Hershey, PA
NPI Status: Active since February 08, 2006
Contact Information
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
Phone: (800) 243-1455
Fax: (717) 531-0336
- Individual
- Female
- Years of Experience 37
- Radiology
- Pediatric Radiology
- Accepts Medicare Approved Payment
About MONICA SESTOPAL EPELMAN
This page provides the complete NPI Profile along with additional information for Monica Sestopal Epelman, a provider established in Hershey, Pennsylvania with a medical specialization in Radiology, focusing in pediatric radiology and more than 37 years of experience. The healthcare provider is registered in the NPI registry with number 1043283385 assigned on February 2006. The practitioner's primary taxonomy code is 2085P0229X with license number MD424367 (PA). The provider is registered as an individual and her NPI record was last updated February 2025.
- NPI
- 1043283385
- Provider Name
- DR. MONICA J SESTOPAL EPELMAN MD
- Other Name
- MONICA JUDITH SESTOPAL EPELMAN MD
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 500 UNIVERSITY DR HERSHEY, PA 17033
- Location Phone
- (800) 243-1455
- Location Fax
- (717) 531-0336
- Mailing Address
- 3100 SW 62ND AVE MIAMI, FL 33155
- Mailing Phone
- (305) 666-6511
- Medical School Name
- OTHER
- Graduation Year
- 1989
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-08-2006
- Last Update Date
- 02-10-2025
- Code Navigator
Location Map
Secondary Locations
- 3100 SW 62nd Ave
Miami, FL 33155
(305) 666-6511
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Pediatric Radiology
- Taxonomy Code
- 2085P0229X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD424367
- License State
- PA
- Taxonomy Description
- A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | ME112810 (FL) |
| 2 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | 326479 (NY) |
| 3 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 326479 (NY) |
Medicare Participation & PECOS Enrollment Status
Monica Sestopal Epelman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 4082673397
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20120629000349, I20120712000190
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 2 | 8 | 3 | 3 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 4 | 8 | 6 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 4 + 8 + 6 + 3 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1043283385 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609879691 | HY J DEPAMPHILIS MD Individual | Internal Medicine | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 243-1455 |
| 1972506137 | DR. JOY CELESTE COTTON M.D. Individual | Internal Medicine (Cardiovascular Disease) | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 243-1455 |
| 1801897822 | DR. CLAUDE FANELLI M.D. Individual | Internal Medicine (Cardiovascular Disease) | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 243-1455 |
| 1174525810 | DEBRA BYLER MD Individual | Psychiatry & Neurology (Neurology) | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 243-1455 |
| 1730173683 | MRS. CATHERINE ANNE RODEN PA-C Individual | Physician Assistant (Medical) | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 243-1455 |
| 1558357582 | DR. JULIE ANN RHOADES AU.D. Individual | Audiologist | 500 UNIVERSITY DR UPC I, SUITE 700, MC HU10 HERSHEY, PA 17033 (717) 531-7171 |
| 1427044213 | DR. MICHELE LESLIE GERRISH AU.D. Individual | Audiologist | 500 UNIVERSITY DR UPC1 SUITE 700 HERSHEY, PA 17033 (717) 531-7171 |
| 1982692190 | KRISTINE L FORTUNA MD Individual | Orthopaedic Surgery | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 243-1455 |
| 1336137439 | MICHAEL D DETTORRE DO Individual | Pediatrics (Pediatric Critical Care Medicine) | 500 UNIVERSITY DR M.S.HERSHEY MEDICAL CENTER HERSHEY, PA 17033 (717) 531-5337 |
| 1114917200 | DAVID SOYBEL MD Individual | Surgery | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 243-1455 |
| 1124000849 | MRS. BARBARA HENCH GOODYEAR CRNA Individual | Nurse Anesthetist, Certified Registered | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 243-1455 |
| 1669458022 | DR. CHARLES SHERMAN SPECHT M.D. Individual | Pathology (Anatomic Pathology) | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 233-4082 |
| 1134107188 | MRS. CHRISTINE H BRUCE PA C MHSA Individual | Physician Assistant | 500 UNIVERSITY DR HERSHEY, PA 17033 (717) 531-4221 |
| 1093794430 | KARL MATTHEW FELSHEIM PA-C Individual | Physician Assistant (Medical) | 500 UNIVERSITY DR H053 HERSHEY, PA 17033 (717) 531-8898 |
| 1780657890 | MICHELLE MARIE SPONG PA-C Individual | Physician Assistant (Medical) | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 243-1455 |
| 1861467565 | MRS. BROOKE MICHELLE OLENOWSKI PA-C Individual | Physician Assistant | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 243-1455 |
| 1164499521 | SINISA DOVAT MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 243-1455 |
| 1215996343 | NANCY J OLSEN MD Individual | Internal Medicine (Rheumatology) | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 243-1455 |
| 1366401671 | BARBARA ANN BIRRIEL CRNP Individual | Nurse Practitioner (Acute Care) | 500 UNIVERSITY DR HERSHEY, PA 17033 (800) 243-1455 |
| 1598727802 | RONALD RUBINSTEIN PT Individual | Physical Therapist | 500 UNIVERSITY DR EC 130 HERSHEY, PA 17033 (717) 531-8521 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043283385, enumerated in the NPI registry as an "individual" on February 08, 2006
The provider is located at 500 University Dr Hershey, Pa 17033 and the phone number is (800) 243-1455
The provider's speciality is Radiology with taxonomy code 2085P0229X with a focus in Pediatric Radiology
The provider has more than 37 years of experience.
This NPI record was last updated on February 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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