Dr Vishal Sethi, MD - Medicare Internal Medicine in Baltimore, MD

Dr Vishal Sethi, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Baltimore, Maryland. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Sinai Hospital Of Baltimore, Inc and his current practice location is 1040 Park Ave Ste 200, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 738-0300.

Dr Vishal Sethi is licensed to practice in Maryland (license number D0070809) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225251440.

Contact Information

Dr Vishal Sethi, MD
1040 Park Ave Ste 200,
Baltimore, MD 21201-5634
(443) 738-0300
(443) 738-0301

Map and Direction




Physician's Profile

Full NameDr Vishal Sethi
GenderMale
SpecialityInternal Medicine
Experience22 Years
Location1040 Park Ave Ste 200, Baltimore, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Vishal Sethi graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1225251440
  • Provider Enumeration Date: 04/10/2007
  • Last Update Date: 06/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9931395779
  • Enrollment ID: I20101119000102

Medical Identifiers

Medical identifiers for Dr Vishal Sethi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225251440NPI-NPPES
132190100MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease D0070809 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sinai Hospital Of BaltimoreBaltimore, MDHospital
Levindale Hebrew Geriatric Center And HospitalBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sinai Hospital Of Baltimore, Inc0941112346333

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Vishal Sethi allows following entities to bill medicare on his behalf.
Entity NameSinai Hospital Of Baltimore, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043235666
PECOS PAC ID: 0941112346
Enrollment ID: O20031104000353
Entity NameAbsolutecare, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508295726
PECOS PAC ID: 3375560394
Enrollment ID: O20150514001670
Entity NameAbsolutecare Of Baltimore Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508295726
PECOS PAC ID: 4981955382
Enrollment ID: O20180925000871

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Vishal Sethi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Vishal Sethi, MD
2140 Peachtree Rd Nw Ste 232,
Atlanta, GA 30309-1316

Ph: (404) 231-4431
Dr Vishal Sethi, MD
1040 Park Ave Ste 200,
Baltimore, MD 21201-5634

Ph: (443) 738-0300

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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