Neeta Sethi, MD - Medicare Pediatrics in Washington, DC

Neeta Sethi, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Washington, District Of Columbia. Her current practice location is 111 Michigan Ave Nw, W3.5, 600, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 476-3670.

Neeta Sethi is licensed to practice in North Carolina (license number 2020-02255) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114362746.

Contact Information

Neeta Sethi, MD
111 Michigan Ave Nw, W3.5, 600,
Washington, DC 20010-2916
(202) 476-3670
(202) 476-4741

Map and Direction




Physician's Profile

Full NameNeeta Sethi
GenderFemale
SpecialityPediatrics - Pediatric Cardiology
Location111 Michigan Ave Nw, Washington, District Of Columbia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114362746
  • Provider Enumeration Date: 05/09/2013
  • Last Update Date: 09/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5799195046
  • Enrollment ID: I20201028000753

Medical Identifiers

Medical identifiers for Neeta Sethi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114362746NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0202XPediatrics - Pediatric Cardiology 2020-02255 (North Carolina)Primary

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. Neeta Sethi allows following entities to bill medicare on her behalf.
Entity NameDuke University Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376574798
PECOS PAC ID: 2567372345
Enrollment ID: O20031126000274
Entity NamePrivate Diagnostic Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457389033
PECOS PAC ID: 1355254368
Enrollment ID: O20031204000577
Entity NameDuke Health Integrated Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205553369
PECOS PAC ID: 8325412737
Enrollment ID: O20230327002247

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. Neeta 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
Neeta Sethi, MD
2301 Erwin Rd,
Durham, NC 27705-4699

Ph: () -
Neeta Sethi, MD
111 Michigan Ave Nw, W3.5, 600,
Washington, DC 20010-2916

Ph: (202) 476-3670

Reviews and Comments


Pediatrics Doctors in Washington, DC

Dr. Talita Michelle Jordan, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 111 Michigan Ave Nw, Washington, DC 20010
Phone: 202-476-5000    
Yue-hin Loke, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 111 Michigan Ave Nw, W3.5, 600, Washington, DC 20010
Phone: 202-476-3670    
Elshadey Yayehyerade Bekele,
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Medicare: Medicare Enrolled
Practice Location: 111 Michigan Ave Nw, Washington, DC 20010
Phone: 301-565-4279    
Jia Liu, MD
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Medicare: Medicare Enrolled
Practice Location: 111 Michigan Ave Nw, Washington, DC 20010
Phone: 202-476-5000    
Dr. Charles John Billington Jr., MDPHD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 111 Michigan Ave Nw, W3.5, 600, Washington, DC 20010
Phone: 202-476-3670    Fax: 202-476-4741
Dr. Joy Marie Morgan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 111 Michigan Ave Nw, Washington, DC 20010
Phone: 202-476-5000    
Nicole V Lang, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1145 19th St Nw, Ste 708, Washington, DC 20036
Phone: 202-955-5625    Fax: 202-955-5626

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.