RAJESH K SHETH MD
NPI 1194734152
Family Medicine in Louisville, KY
Active since August 07, 2006PECOS Enrolled
332 W BROADWAY, SUITE 600, LOUISVILLE, KY 40202(502) 583-2759(502) 583-2760 Get Directions Write a Review
About Rajesh K Sheth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAJESH K SHETH MD (NPI 1194734152) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (22769) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1194734152
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAJESH K SHETHCredential: MD
Location Address332 W BROADWAY, SUITE 600Louisville, KY 40202-2116
Mailing Address332 W Broadway, Suite 600Louisville, KY 40202-2116 · (502) 583-2759 · Fax (502) 583-2760
Phone(502) 583-2759
Fax(502) 583-2760
Sole ProprietorYes
Enumeration DateAugust 7, 2006
Last NPPES UpdateFebruary 11, 2010
✔ NPI 1194734152 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 22769
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
332 W BROADWAY, Louisville, KY 40202
Other Identifiers 3
Medicare ID-Type Unspecified1463601
Medicaid64227697KY
Medicare UPINC66982
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Rajesh K Sheth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.
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.
Reported Quality Measures
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
43%103 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
12%142 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
68%255 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
47%89 patients2/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
69%89 patients3/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
87%89 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
40%2,202 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,973 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
85%146 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%35 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
69%370 patients3/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
55%146 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%81 patients5/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
14%377 patients1/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
53%503 patients3/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 94% · 397 patients
Patients tobacco: 93% · 397 patients
92%112 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%370 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%370 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 5% · 146 patients
11%146 patients2/55-star benchmark: 100%
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.
Nurse Anesthetist, Certified Registered
332 W BROADWAY, SUITE 810
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
Voluntary or Charitable
332 W BROADWAY, SUITE 404
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
332 W BROADWAY, SUITE #810
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
Community/Behavioral Health
332 W BROADWAY, SUITE 905
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
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 Rajesh Sheth's NPI number?
The NPI number for Rajesh Sheth is 1194734152. It was assigned to this individual provider in the NPPES registry on August 7, 2006.
Where is Rajesh Sheth located?
Rajesh Sheth practices at 332 W Broadway Suite 600, Louisville, KY 40202. The listed phone number is (502) 583-2759.
What is Rajesh Sheth's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rajesh Sheth enrolled in Medicare?
Yes. Rajesh Sheth is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Rajesh Sheth was last updated on February 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Rajesh K Sheth, MD · NPI 1194734152
Family Medicine physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since August 7, 2006.
## Identity
- **NPI:** 1194734152 (Entity type: Individual)
- **Enumerated:** August 7, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 22769 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 332 W BROADWAY, SUITE 600, Louisville, KY 40202-2116
- **Phone:** (502) 583-2759 · **Fax:** (502) 583-2760
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 11, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 1463601; Medicaid 64227697 (KY); Medicare UPIN C66982
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Source: [NPI Profile](https://npiprofile.com/npi/1194734152) · Data from the CMS NPPES public registry.