Nisha Sethi, MD
NPI 1669437224 · Infectious Disease Physician · Hempstead, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nisha Sethi, MD is a Infectious Disease Physician provider in Hempstead, NY (NPI 1669437224).
Provider details
- NPI number
- 1669437224
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- License
- 165939 (NY)
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
6,572 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 | 5,493 | $88 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 1,001 | $146 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 43 | $132 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 20 | $192 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 15 | $55 |
Typical Medicare-allowed amounts for these services range $55–$192 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Dolutegravir Sodium/Lamivudinebrand: Dovato | 128 | 16 |
| Vancomycin Hcl | 71 | 15 |
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 48 | — |
| Ertapenem Sodiumbrand: Ertapenem | 43 | 16 |
| Cefepime Hcl | 38 | 11 |
| Ceftriaxone Sodiumbrand: Ceftriaxone | 35 | — |
| Cefazolin Sodium | 20 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$93 across 2 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
- 2006-04-18
- Last updated
- 2007-07-08
Frequently asked questions
- What is Nisha Sethi's NPI number?
- Nisha Sethi's National Provider Identifier (NPI) is 1669437224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nisha Sethi's specialty?
- Nisha Sethi is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Nisha Sethi located?
- Nisha Sethi's practice location on file with NPPES is 230 Hilton Avenue, Hempstead, NY 11550.
- What is Nisha Sethi's phone number?
- The practice phone number listed in the NPPES registry for Nisha Sethi is (516) 565-5200.
- Does Nisha Sethi accept Medicare?
- Nisha Sethi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nisha Sethi's NPI active?
- Yes — Nisha Sethi's NPI (1669437224) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.