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DR. ANIL SETHI
NPI 1104019280
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Detroit, MI

Active since August 22, 2007PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
311 MACK AVE FL 5, DETROIT, MI 48201(313) 832-0500(313) 966-8400 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2025, Oct 16, 2018 (2 updates tracked since 2018).

About Dr. Anil Sethi NPPES

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

DR. ANIL SETHI (NPI 1104019280) is an individual orthopaedic surgery of the spine provider in Detroit, Michigan, licensed in Michigan (L1009095) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1104019280
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. ANIL SETHI
Location Address311 MACK AVE FL 5Detroit, MI 48201-2466
Mailing Address311 Mack Ave Fl 5Detroit, MI 48201-2466 · (313) 832-0500 · Fax (313) 966-8400
Phone(313) 832-0500
Fax(313) 966-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateAugust 22, 2007
Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1104019280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in MI · L1009095
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
311 MACK AVE FL 5, Detroit, MI 48201
Open in Google Maps ↗

Secondary Practice Location 1

Location 14201 Saint Antoine StDetroit, MI 48201-2153 · Phone (313) 745-7194

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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. Anil Sethi 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 ID648330639
PECOS Enrollment IDI20081120000553
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 2

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 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.
60 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230024
Location6071 W Outer DriveDetroit, MI 48235 · Wayne County
Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

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.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

Other Providers at the Same Location NPPES 14

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

ROBERT MEEHAN MD
Orthopaedic Surgery
311 MACK AVE FL 5
DETROIT, MI 48201
Wayne County (313) 832-0500
DIMPAL RASHMIKANT PATEL PA-C
Physician Assistant
311 MACK AVE FL 5
DETROIT, MI 48201
Wayne County (313) 832-0500
RYAN BRAY
Orthopaedic Surgery (Orthopaedic Trauma)
311 MACK AVE FL 5
DETROIT, MI 48201
Wayne County (313) 832-0500
REILLY MORGAN CARR PA
Physician Assistant
311 MACK AVE FL 5
DETROIT, MI 48201
Wayne County (313) 832-0500
ALEXA JAUME MD
Student in an Organized Health Care Education/Training Program
311 MACK AVE FL 5
DETROIT, MI 48201
Wayne County (313) 832-0500
ANDREW GUAN-HAO TSAI M.D.
Surgery (Surgery of the Hand)
311 MACK AVE FL 5
DETROIT, MI 48201
Wayne County (313) 832-0500
DR. BRYANT WILL OLIPHANT M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
311 MACK AVE FL 5
DETROIT, MI 48201
Wayne County (313) 832-0500
ROBYN RENEE FRYC
Physician Assistant
311 MACK AVE FL 5
DETROIT, MI 48201
Wayne County (313) 832-0500

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 Anil Sethi's NPI number?

The NPI number for Anil Sethi is 1104019280. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Where is Anil Sethi located?

Anil Sethi practices at 311 Mack Ave Fl 5, Detroit, MI 48201. The listed phone number is (313) 832-0500.

What is Anil Sethi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Anil Sethi enrolled in Medicare?

Yes. Anil 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 Anil Sethi accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Anil 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 Anil Sethi affiliated with any hospitals?

According to CMS data, Anil Sethi is affiliated with Sinai-Grace Hospital, Harper University Hospital and Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for Anil Sethi was last updated on December 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.