DR. SONALI SETHI M.D.
NPI 1053519058
Internal Medicine - Pulmonary Disease in New York, NY

Active since July 11, 2007PECOS EnrolledAccepts Medicare Assignment
222 W 14TH ST, MEDICAL ASSOCIATES, NEW YORK, NY 10011(212) 604-1810 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sonali Sethi M.d. NPPES

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

DR. SONALI SETHI M.D. (NPI 1053519058) is an individual pulmonary disease provider in New York, New York, licensed in New York (244702) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1053519058
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SONALI SETHICredential: M.D.
Location Address222 W 14TH ST, MEDICAL ASSOCIATESNew York, NY 10011-7200
Mailing Address170 W 12th St, Cronin Building #554bNew York, NY 10011-8202 · (212) 604-8313
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 11, 2007
Last NPPES UpdateJune 4, 2013
NPI 1053519058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 244702
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 244702 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 244702 (NY)
222 W 14TH ST, New York, NY 10011

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sonali Sethi M.d. 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.

PECOS PAC ID9638253339
PECOS Enrollment IDI20130925000974
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

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.

Biopsy of lobe of lung using an endoscope, 1 lobe 31628
A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.
40 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services22 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
30 services26 patients
Destruction of growth or narrowing of lung airway using an endoscope 31641
This procedure involves using a special tool called an endoscope to treat abnormal growths or narrowing in the lung airway. The endoscope, inserted through the mouth, allows the doctor to visualize and treat the affected area without making large incisions.
29 services16 patients
Aspiration of initial secretion of lung airway using an endoscope 31645
This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.
27 services13 patients
Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629
A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Ashtabula County Medical Center

Acute Care Hospitals · Ashtabula, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360125
Location2420 Lake AvenueAshtabula, OH 44004 · Ashtabula County
Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
222 W 14TH ST, BETH ISRAEL MEDICAL GROUP
NEW YORK, NY 10011
Internal Medicine
222 W 14TH ST
NEW YORK, NY 10011
Psychologist (Counseling)
222 W 14TH ST, SUITE 8C
NEW YORK, NY 10011
Internal Medicine
222 W 14TH ST
NEW YORK, NY 10011
Dentist (General Practice)
222 W 14TH ST
NEW YORK, NY 10011
Psychologist (Clinical)
222 W 14TH ST, APT 10C
NEW YORK, NY 10011
Family Medicine
222 W 14TH ST
NEW YORK, NY 10011
Social Worker (Clinical)
222 W 14TH ST, 4L
NEW YORK, NY 10011

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 Sonali Sethi's NPI number?

The NPI number for Sonali Sethi is 1053519058. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Sonali Sethi located?

Sonali Sethi practices at 222 W 14th St Medical Associates, New York, NY 10011. The listed phone number is (212) 604-1810.

What is Sonali Sethi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sonali Sethi enrolled in Medicare?

Yes. Sonali Sethi 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.

What insurance does Sonali Sethi accept?

Health plans from Oscar Insurance Corporation of Ohio list Sonali Sethi 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.

Is Sonali Sethi affiliated with any hospitals?

According to CMS data, Sonali Sethi is affiliated with Akron General Medical Center, Ashtabula County Medical Center, Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Sonali Sethi was last updated on June 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.