Prithipal Sethi, M.D.
NPI 1174710578 · Urology Physician · Sacramento, CA
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prithipal Sethi, M.D. is a Urology Physician provider in Sacramento, CA (NPI 1174710578).
Provider details
- NPI number
- 1174710578
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A86412 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
8,094 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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 1,410 | $17 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,395 | $94 |
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 1,187 | $12 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 741 | $133 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 559 | $64 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 259 | 216 |
| Tamsulosin Hcl | 143 | 58 |
| Ciprofloxacin Hcl | 118 | 104 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 91 | 76 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 79 | 28 |
| Methenamine Hippurate | 57 | 15 |
| Relugolixbrand: Orgovyx | 56 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$20,587 across 42 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
- 2007-09-29
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Frequently asked questions
- What is Prithipal Sethi's NPI number?
- Prithipal Sethi's National Provider Identifier (NPI) is 1174710578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prithipal Sethi's specialty?
- Prithipal Sethi is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Prithipal Sethi located?
- Prithipal Sethi's practice location on file with NPPES is 8715 Center Pkwy, Sacramento, CA 95823-7921.
- What is Prithipal Sethi's phone number?
- The practice phone number listed in the NPPES registry for Prithipal Sethi is (916) 245-8888.
- Does Prithipal Sethi accept Medicare?
- Prithipal Sethi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prithipal Sethi's NPI active?
- Yes — Prithipal Sethi's NPI (1174710578) is active in the NPPES registry as of the last update on 2025-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.