Setu Patolia
NPI 1649418104 · Pulmonary Disease Physician · Saint Louis, MO
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Setu Patolia is a Pulmonary Disease Physician provider in Saint Louis, MO (NPI 1649418104).
Provider details
- NPI number
- 1649418104
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 2013002818 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
472 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 | 133 | $77 |
| Critical Care, First 30-74 Minutes99291 | 48 | $209 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 43 | $117 |
| Test to Determine Lung Volumes Using Sensors94726 | 32 | $12 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 30 | $9 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 29 | $10 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 64 | 14 |
| Montelukast Sodium | 54 | — |
| Fluticasone Propionate | 45 | — |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 33 | — |
| Tiotropium Bromidebrand: Spiriva Handihaler | 26 | — |
| Prednisone | 22 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$9,293 across 21 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
Additional practice locations (1)
- 1225 S Grand BlvdSaint Louis, MO 63104-1016Phone: (314) 977-6190
Registry dates
- Enumerated
- 2009-01-21
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Frequently asked questions
- What is Setu Patolia's NPI number?
- Setu Patolia's National Provider Identifier (NPI) is 1649418104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Setu Patolia's specialty?
- Setu Patolia is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Setu Patolia located?
- Setu Patolia's practice location on file with NPPES is 3660 Vista Ave Ste 202, Saint Louis, MO 63110-2540.
- What is Setu Patolia's phone number?
- The practice phone number listed in the NPPES registry for Setu Patolia is (314) 577-8000.
- Does Setu Patolia accept Medicare?
- Setu Patolia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Setu Patolia's NPI active?
- Yes — Setu Patolia's NPI (1649418104) is active in the NPPES registry as of the last update on 2025-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.