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DR. DHARTI SHETH M.D.
NPI 1043219538
Surgery in Grosse Pointe, MI

Active since July 18, 2005
80.99/100
CMS Quality Rating
468 CADIEUX RD FL 2, GROSSE POINTE, MI 48230(313) 473-6900(586) 771-8901 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2025, Oct 22, 2020 (2 updates tracked since 2020).

About Dr. Dharti Sheth M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DHARTI SHETH M.D. (NPI 1043219538) is an individual surgery provider in Grosse Pointe, Michigan, licensed in Michigan (2310153) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1043219538
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. DHARTI SHETHCredential: M.D.
Location Address468 CADIEUX RD FL 2Grosse Pointe, MI 48230-1507
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Phone(313) 473-6900
Fax(586) 771-8901
Sole ProprietorYes
Enumeration DateJuly 18, 2005
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1043219538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 2310153
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
468 CADIEUX RD FL 2, Grosse Pointe, MI 48230
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Other Names 1

Other Name (5)Dr. Dharti Sheth Zelmanski M.d.

Other Identifiers 1

Medicaid4536742 10MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
70 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services42 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
17 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
11 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dharti Sheth's NPI number?

The NPI number for Dharti Sheth is 1043219538. It was assigned to this individual provider in the NPPES registry on July 18, 2005. The provider is also known as Dr. Dharti Sheth Zelmanski M.D..

Where is Dharti Sheth located?

Dharti Sheth practices at 468 Cadieux Rd Fl 2, Grosse Pointe, MI 48230. The listed phone number is (313) 473-6900.

What is Dharti Sheth's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Dharti Sheth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Dharti Sheth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dharti Sheth was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.