DR. RISHI SETH MD
NPI 1053529883
Radiology - Diagnostic Radiology in Fort Worth, TX

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
57.89/100
CMS Quality Rating
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 321-0387 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rishi Seth Md NPPES

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

DR. RISHI SETH MD (NPI 1053529883) is an individual diagnostic radiology provider in Fort Worth, Texas, licensed in Virginia (0101271687) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Drexel University College Of Medicine (2006).

NPPES Registry Identity

NPI1053529883
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RISHI SETHCredential: MD
Location Address815 PENNSYLVANIA AVEFort Worth, TX 76104-2224
Mailing Address2722 Merrilee Dr, Ste 230Fairfax, VA 22031-4400 · (703) 698-4444
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2006
Enumeration DateMay 17, 2007
Last NPPES UpdateJune 9, 2021
NPPES CertifiedJune 9, 2021
NPI 1053529883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in VA · 0101271687 Licensed in TX · P8007 Licensed in FL · ME113834 Licensed in MD · D67807
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License ME113834 (FL), 036127653 (IL)
815 PENNSYLVANIA AVE, Fort Worth, TX 76104

Other Identifiers 3

Medicaid285250104TX
Medicaid121715004TX
Medicaid121715008TX

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. Rishi Seth 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.

PECOS PAC ID1254582265
PECOS Enrollment IDI20210615001237, I20210617003219
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 57

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
4,589 services55 patients
Injection, gadoteridol, (prohance multipack), per ml A9576
Gadoteridol, found in ProHance Multipack, is a contrast agent used in MRI scans. It's injected into your body to help highlight certain areas, making them easier to see. This can assist in diagnosing various health conditions. It's generally safe with few side effects.
1,046 services67 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
999 services969 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
338 services334 patients
Ct scan of lower spine without contrast 72131
A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.
168 services167 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
162 services160 patients

Hospital Affiliations CMS Care Compare 5

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

57.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.85
Improvement Activities0
Cost55.1

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%703 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%132 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104

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 Rishi Seth's NPI number?

The NPI number for Rishi Seth is 1053529883. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Rishi Seth located?

Rishi Seth practices at 815 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 321-0387.

What is Rishi Seth's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Rishi Seth enrolled in Medicare?

Yes. Rishi Seth 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 Rishi Seth accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Rishi Seth 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 Rishi Seth affiliated with any hospitals?

According to CMS data, Rishi Seth is affiliated with Inova Alexandria Hospital, Inova Loudoun Hospital, Inova Fairfax Hospital, Inova Fair Oaks Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Rishi Seth was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.