Shivani Sethi, M.D.
NPI 1891926085 · Student in an Organized Health Care Education/Training Program · Summit, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shivani Sethi, M.D. is a Student in an Organized Health Care Education/Training Program provider in Summit, NJ (NPI 1891926085).
Provider details
- NPI number
- 1891926085
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.D.
- Sex
- Female
- 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 tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
18 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 18 | $111 |
Typical Medicare-allowed amounts for these services range $111–$111 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 102 | 28 |
| Atorvastatin Calcium | 97 | 35 |
| Amlodipine Besylate | 66 | 26 |
| Simvastatin | 51 | 15 |
| Losartan Potassium | 51 | 18 |
| Atenolol | 47 | 17 |
| Lisinopril | 37 | 13 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-08-05
- Last updated
- 2022-02-11
Frequently asked questions
- What is Shivani Sethi's NPI number?
- Shivani Sethi's National Provider Identifier (NPI) is 1891926085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shivani Sethi's specialty?
- Shivani 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 Shivani Sethi located?
- Shivani Sethi's practice location on file with NPPES is 33 Overlook Rd, Summit, NJ 07901-3570.
- What is Shivani Sethi's phone number?
- The practice phone number listed in the NPPES registry for Shivani Sethi is (908) 522-5700.
- Does Shivani Sethi accept Medicare?
- Shivani Sethi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shivani Sethi's NPI active?
- Yes — Shivani Sethi's NPI (1891926085) is active in the NPPES registry as of the last update on 2022-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.