Nilay Sethi, M.D., PH.D.
NPI 1164781290 · Student in an Organized Health Care Education/Training Program · San Francisco, CA
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nilay Sethi, M.D., PH.D. is a Student in an Organized Health Care Education/Training Program provider in San Francisco, CA (NPI 1164781290).
Provider details
- NPI number
- 1164781290
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.D., PH.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
60 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 60 | $77 |
Typical Medicare-allowed amounts for these services range $77–$77 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$10,510 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-05-09
- Last updated
- 2012-05-09
Frequently asked questions
- What is Nilay Sethi's NPI number?
- Nilay Sethi's National Provider Identifier (NPI) is 1164781290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nilay Sethi's specialty?
- Nilay Sethi is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Nilay Sethi located?
- Nilay Sethi's practice location on file with NPPES is 1545 Divisadero St, San Francisco, CA 94115-3425.
- What is Nilay Sethi's phone number?
- The practice phone number listed in the NPPES registry for Nilay Sethi is (415) 353-7900.
- Does Nilay Sethi accept Medicare?
- Nilay Sethi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nilay Sethi's NPI active?
- Yes — Nilay Sethi's NPI (1164781290) is active in the NPPES registry as of the last update on 2012-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.