DR. IMRAN AHMED SETHI MD
NPI 1093914301
Internal Medicine - Nephrology in Shepherdsville, KY

Active since July 16, 2007PECOS EnrolledAccepts Medicare Assignment
1903 W HEBRON LN, SHEPHERDSVILLE, KY 40165(502) 647-4154 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2024, Oct 17, 2022, Jul 13, 2022 and 2 more (5 updates tracked since 2018).

About Dr. Imran Ahmed Sethi Md NPPES

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

DR. IMRAN AHMED SETHI MD (NPI 1093914301) is an individual nephrology provider in Shepherdsville, Kentucky, licensed in Kentucky (44176) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1093914301
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. IMRAN AHMED SETHICredential: MD
Location Address1903 W HEBRON LNShepherdsville, KY 40165-7425
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 647-4154
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 16, 2007
Last NPPES UpdateJuly 1, 20245 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
NPI 1093914301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in KY · 44176 Licensed in IN · 01080259A
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 01080259A (IN)
1903 W HEBRON LN, Shepherdsville, KY 40165

Secondary Practice Locations 3

Location 11907 W Sycamore StKokomo, IN 46901 · Phone (765) 456-5847
Location 2720 Eskenazi AveIndianapolis, IN 46202-5166 · Phone (317) 880-7666 · Fax (317) 880-0448
Location 311109 Parkview Plaza DrFort Wayne, IN 46845-1701 · Phone (260) 672-6637 · Fax (260) 458-5355

Other Identifiers 1

Medicaid7100304120KY

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. Imran Ahmed Sethi 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 ID244313500
PECOS Enrollment IDI20180615001865, I20240726002907
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 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
145 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
134 services68 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
55 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
30 services30 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.
28 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40165 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims25 services$102.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Registered Nurse
1903 W HEBRON LN
SHEPHERDSVILLE, KY 40165
Nurse Practitioner
1903 W HEBRON LN
SHEPHERDSVILLE, KY 40165
Nurse Practitioner (Family)
1903 W HEBRON LN
SHEPHERDSVILLE, KY 40165
Clinical Medical Laboratory
1903 W HEBRON LN
SHEPHERDSVILLE, KY 40165
General Acute Care Hospital
1903 W HEBRON LN
SHEPHERDSVILLE, KY 40165
Pharmacy (Community/Retail Pharmacy)
1903 W HEBRON LN
SHEPHERDSVILLE, KY 40165
Specialist/Technologist, Other (Surgical Assistant)
1903 W HEBRON LN
SHEPHERDSVILLE, KY 40165

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 Imran Sethi's NPI number?

The NPI number for Imran Sethi is 1093914301. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Imran Sethi located?

Imran Sethi practices at 1903 W Hebron Ln, Shepherdsville, KY 40165. The listed phone number is (502) 647-4154.

What is Imran Sethi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Imran Sethi enrolled in Medicare?

Yes. Imran 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 Imran Sethi accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Imran 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 Imran Sethi affiliated with any hospitals?

According to CMS data, Imran Sethi is affiliated with Marion General Hospital, Lutheran Hospital Of Indiana and Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Imran Sethi was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.