SETAREH SAEIAN MD
NPI 1053155143
Family Medicine in Janesville, WI
About Setareh Saeian Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SETAREH SAEIAN MD (NPI 1053155143) is an individual family medicine provider in Janesville, Wisconsin, licensed in Wisconsin (101229) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Setareh Saeian Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Setareh Saeian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Janesville, WI 53548
- Reassigned Medicare billing, Wisconsin enrollment
- 1,155 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JANESVILLE, WI 53546
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 Setareh Saeian's NPI number?
The NPI number for Setareh Saeian is 1053155143. It was assigned to this individual provider in the NPPES registry on June 24, 2024.
Where is Setareh Saeian located?
Setareh Saeian practices at 849 Kellogg Ave, Janesville, WI 53546. The listed phone number is (608) 758-8565.
What is Setareh Saeian's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Setareh Saeian enrolled in Medicare?
Yes. Setareh Saeian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Setareh Saeian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Setareh Saeian reassigns Medicare benefits to Mercy Health System Corporation (Janesville, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Setareh Saeian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Setareh Saeian accept?
Health plans from Anthem Blue Cross and Blue Shield list Setareh Saeian 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 Setareh Saeian was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Setareh Saeian, MD · NPI 1053155143
Family Medicine physician in Janesville, Wisconsin. Individual provider, active in the CMS NPPES registry since June 24, 2024.
## Identity
- **NPI:** 1053155143 (Entity type: Individual)
- **Enumerated:** June 24, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 101229 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 849 KELLOGG AVE, Janesville, WI 53546-2808
- **Phone:** (608) 758-8565
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Health System Corporation (NPI 1598718603, Janesville, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053155143) · Data from the CMS NPPES public registry.