Sanjay Sethi, MD
NPI 1326081274 · Medical Oncology Physician · Sugar Land, TX
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjay Sethi, MD is a Medical Oncology Physician provider in Sugar Land, TX (NPI 1326081274).
Provider details
- NPI number
- 1326081274
- Entity type
- Individual
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M0911 (TX)
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
20 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
3,961 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) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 958 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 897 | $8 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 268 | $121 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 248 | $86 |
| Infusion Into a Vein for Therapy, Prevention, Or Diagnosis, Additional Sequential Infusion, 1 Hour Or Less96367 | 206 | $26 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Anastrozole | 59 | 13 |
| Apixabanbrand: Eliquis | 52 | 19 |
| Warfarin Sodium | 39 | 11 |
| Lenalidomidebrand: Revlimid | 29 | — |
| Prednisone | 27 | — |
| Hydroxyurea | 26 | — |
| Allopurinol | 25 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$301 across 8 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
- 2006-06-14
- Last updated
- 2008-11-07
Frequently asked questions
- What is Sanjay Sethi's NPI number?
- Sanjay Sethi's National Provider Identifier (NPI) is 1326081274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjay Sethi's specialty?
- Sanjay Sethi is listed in the NPPES registry with a primary specialty of Medical Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjay Sethi located?
- Sanjay Sethi's practice location on file with NPPES is 1350 First Colony Blvd, Sugar Land, TX 77479-4308.
- What is Sanjay Sethi's phone number?
- The practice phone number listed in the NPPES registry for Sanjay Sethi is (281) 277-5200.
- Does Sanjay Sethi accept Medicare?
- Sanjay Sethi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjay Sethi's NPI active?
- Yes — Sanjay Sethi's NPI (1326081274) is active in the NPPES registry as of the last update on 2008-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.