Anil Sethi
NPI 1104019280 · Orthopaedic Surgery of the Spine Physician · Detroit, MI
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anil Sethi is a Orthopaedic Surgery of the Spine Physician provider in Detroit, MI (NPI 1104019280).
Provider details
- NPI number
- 1104019280
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- L1009095 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
77 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 60 | $66 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 17 | $84 |
Typical Medicare-allowed amounts for these services range $66–$84 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 4201 Saint Antoine StDetroit, MI 48201-2153Phone: (313) 745-7194
Registry dates
- Enumerated
- 2007-08-22
- Last updated
- 2025-12-05
- Certified
- 2025-12-05
Frequently asked questions
- What is Anil Sethi's NPI number?
- Anil Sethi's National Provider Identifier (NPI) is 1104019280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anil Sethi's specialty?
- Anil Sethi is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery of the Spine Physician (Allopathic & Osteopathic Physicians).
- Where is Anil Sethi located?
- Anil Sethi's practice location on file with NPPES is 311 Mack Ave Fl 5, Detroit, MI 48201-2466.
- What is Anil Sethi's phone number?
- The practice phone number listed in the NPPES registry for Anil Sethi is (313) 832-0500.
- Does Anil Sethi accept Medicare?
- Anil Sethi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anil Sethi's NPI active?
- Yes — Anil Sethi's NPI (1104019280) is active in the NPPES registry as of the last update on 2025-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.