DR. SONIA SETHI
NPI 1124264536
Pediatrics in Philadelphia, PA
About Dr. Sonia Sethi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SONIA SETHI (NPI 1124264536) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD443398) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Sonia Sethi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Sonia Sethi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,225 clinicians in this Medicare group
Voorhees, NJ 08043
- Reassigned Medicare billing, New Jersey enrollment
- 190 clinicians in this Medicare group
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
West Orange, NJ 07052
- Reassigned Medicare billing, New Jersey enrollment
- 428 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 19104 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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Sonia Sethi's NPI number?
The NPI number for Sonia Sethi is 1124264536. It was assigned to this individual provider in the NPPES registry on January 7, 2009.
Where is Sonia Sethi located?
Sonia Sethi practices at 3401 Civic Center Blvd Children's Hospital Of Phila - General Pediatrics, Philadelphia, PA 19104. The listed phone number is (215) 590-2164.
What is Sonia Sethi's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Sonia Sethi enrolled in Medicare?
Yes. Sonia Sethi is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sonia Sethi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Sethi reassigns Medicare benefits to 4 organizations: Childrens Health Care Associates, Inc (Philadelphia, PA), Children's Health Care Associates Of New Jersey PC (Voorhees, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Rwjbh Primary Care Services (West Orange, NJ). Each 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 Sonia Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sonia Sethi accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Sonia 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.
When was this NPI record last updated?
The NPPES record for Sonia Sethi was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Sonia Sethi · NPI 1124264536
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 7, 2009.
## Identity
- **NPI:** 1124264536 (Entity type: Individual)
- **Enumerated:** January 7, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD443398 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILA - GENERAL PEDIATRICS, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-2164 · **Fax:** (215) 590-2180
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Childrens Health Care Associates, Inc (NPI 1033204086, Philadelphia, PA); Children's Health Care Associates Of New Jersey PC (NPI 1669567681, Voorhees, NJ); Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ); Rwjbh Primary Care Services (NPI 1265037501, West Orange, NJ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1124264536) · Data from the CMS NPPES public registry.