SALIL SETHI MD
NPI 1164665477
Internal Medicine - Interventional Cardiology in Peoria, AZ

Active since April 16, 2009PECOS Enrolled
13460 N 94TH DRIVE, STE J-1, PEORIA, AZ 85381(623) 876-8816(623) 298-0168 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2022, Feb 2, 2021 (2 updates tracked since 2021).

About Salil Sethi Md NPPES

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

SALIL SETHI MD (NPI 1164665477) is an individual interventional cardiology provider in Peoria, Arizona, licensed in Arizona (61597) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164665477
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameSALIL SETHICredential: MD
Location Address13460 N 94TH DRIVE, STE J-1Peoria, AZ 85381-4246
Mailing Address13460 N 94th Drive, Suite J-1Peoria, AZ 85381-4246 · (623) 876-8816 · Fax (623) 298-0168
Fax(623) 298-0168
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 16, 2009
Last NPPES UpdateJanuary 18, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
NPI 1164665477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in AZ · 61597
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
13460 N 94TH DRIVE, Peoria, AZ 85381

Other Identifiers 2

Medicaid081995AZ
OtherMEDICAREAZ · Z250313

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 (PECOS)

Salil Sethi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608162052
PECOS Enrollment IDI20201201001901, I20210115001594
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 50

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,316 services593 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,060 services603 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
473 services289 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.
443 services204 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
423 services261 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
405 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier13 claims13 services$2,271.54 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.

Internal Medicine (Interventional Cardiology)
13460 N 94TH DRIVE, STE J-1
PEORIA, AZ 85381
Internal Medicine (Interventional Cardiology)
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381
Nurse Practitioner
13460 N 94TH DRIVE, STE. J-1
PEORIA, AZ 85381
Nurse Practitioner (Family)
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381
Internal Medicine (Clinical Cardiac Electrophysiology)
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381
Physician Assistant
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381
Physician Assistant
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381

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 Salil Sethi's NPI number?

The NPI number for Salil Sethi is 1164665477. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Where is Salil Sethi located?

Salil Sethi practices at 13460 N 94th Drive Ste J-1, Peoria, AZ 85381. The listed phone number is (623) 876-8816.

What is Salil Sethi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Salil Sethi enrolled in Medicare?

Yes. Salil Sethi is registered in the Medicare PECOS enrollment system.

What insurance does Salil Sethi accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, CHRISTUS Health Plan, Imperial Insurance Companies, Inc. and UnitedHealthcare list Salil 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 Salil Sethi was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.