DINESH SETHI MD
NPI 1194763920
Internal Medicine in Wyandanch, NY

Q: What is Dinesh Sethi's NPI number?

The NPI number for Dinesh Sethi is 1194763920. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Dinesh Sethi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Dinesh Sethi was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment

1521 STRAIGHT PATH, WYANDANCH, NY 11798(631) 643-3800(631) 253-4292 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2020, Aug 8, 2017 (2 updates tracked since 2017).

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About Dinesh Sethi Md NPPES

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

DINESH SETHI MD (NPI 1194763920) is an individual internal medicine provider in Wyandanch, New York, licensed in New York (230596) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1194763920

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDINESH SETHICredential: MD

Location Address1521 STRAIGHT PATHWyandanch, NY 11798-3414

Mailing Address1521 Straight PathWyandanch, NY 11798-3414 · (631) 643-3800 · Fax (631) 253-4292

Phone(631) 643-3800

Fax(631) 253-4292

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateJune 3, 2006

Last NPPES UpdateAugust 4, 20232 updates tracked since enumeration

NPPES CertifiedAugust 4, 2023

✔ NPI 1194763920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 230596

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1521 STRAIGHT PATH, Wyandanch, NY 11798

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dinesh 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 ID244292407

PECOS Enrollment IDI20041029000753

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.

Medicare Billing Reassignments

Medicare enrollment records show Dinesh Sethi reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dinesh Sethi Physician PC

Same address

Internal Medicine

1521 STRAIGHT PATH
Wyandanch, NY 11798

Reassigned Medicare billing, New York enrollment
20 clinicians in this Medicare group

NPI 1326392317 (631) 643-3800

Comprehensive Medical Associates PLLC

9.2 mi

General Practice

515 ROUTE 111 FL 2
Hauppauge, NY 11788

Reassigned Medicare billing, New York enrollment
8 clinicians in this Medicare group

NPI 1518208792 (631) 224-1819

Mount Sinai School Of Medicine

11 mi

Hematology & Oncology

2209 MERRICK RD STE 101
Merrick, NY 11566

Reassigned Medicare billing, New York enrollment
302 clinicians in this Medicare group

NPI 1720555089 (516) 546-5000

Ally Medical PC

16 mi

Internal Medicine

30 HEMPSTEAD AVE STE 144
Rockville Centre, NY 11570

Reassigned Medicare billing, New York enrollment
16 clinicians in this Medicare group

NPI 1245935824 (516) 764-6464

New Health Medical PC

16 mi

Internal Medicine

143 WICKHAM RD
Garden City, NY 11530

Reassigned Medicare billing, New York enrollment
9 clinicians in this Medicare group

NPI 1427606649 (347) 804-8217

24 On Physicians, PC

23 mi

Hospitalist

327 BEACH 19TH ST
Far Rockaway, NY 11691

Reassigned Medicare billing, New York enrollment
60 clinicians in this Medicare group

NPI 1578781787 (800) 923-2247

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

2,297 services478 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,668 services427 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.

690 services181 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

663 services261 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

614 services115 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

470 services243 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.

428 services121 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

199 services168 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

175 services171 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

174 services170 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

124 services114 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.

92 services89 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

74 services68 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

69 services69 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

60 services48 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

25 services25 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

23 services21 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

20 services16 patients

18 services13 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330198

LocationOne Healthy WayOceanside, NY 11572 · Nassau County

Emergency services Birthing friendly

St John's Episcopal Hospital At South Shore

Acute Care Hospitals · Far Rockaway, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330395

Location327 Beach 19th StreetFar Rockaway, NY 11691 · Queens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11798 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 40

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

2 suppliers26 claims26 services$22.71 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers26 claims26 services$9.04 avg. paid by Medicare

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

2 suppliers27 claims1,704 services$0.10 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

1 supplier13 claims1,096 services$0.37 avg. paid by Medicare

Tracheal suction catheter, closed system, each A4605

DME-Other DME · category DE000N

1 supplier11 claims132 services$15.86 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

3 suppliers79 claims2,370 services$6.34 avg. paid by Medicare

Oropharyngeal suction catheter, each A4628

DME-Other DME · category DE000N

1 supplier11 claims11 services$3.54 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

2 suppliers46 claims1,218 services$4.50 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

2 suppliers11 claims22 services$61.11 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

2 suppliers12 claims66 services$24.92 avg. paid by Medicare

Collagen based wound filler, dry form, sterile, per gram of collagen A6010