DR. SUNIL KUMAR SETHI D.O.
NPI 1205046570
Emergency Medicine in Garden City, MI

Q: What is Sunil Sethi's NPI number?

The NPI number for Sunil Sethi is 1205046570. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Sunil Sethi's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Sunil Sethi was last updated on December 15, 2021. 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.

Active since May 23, 2007PECOS Enrolled

6245 INKSTER RD, GARDEN CITY, MI 48135(734) 421-3300 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 15, 2021, Jan 9, 2018 (2 updates tracked since 2018).

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About Dr. Sunil Kumar Sethi D.o. NPPES

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

DR. SUNIL KUMAR SETHI D.O. (NPI 1205046570) is an individual emergency medicine provider in Garden City, Michigan, licensed in California (20A11243) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205046570

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. SUNIL KUMAR SETHICredential: D.O.

Location Address6245 INKSTER RDGarden City, MI 48135-4001

Mailing Address4601 Dale RdModesto, CA 95356-9718 · (510) 552-9407

Phone(734) 421-3300

Sole ProprietorNo

Enumeration DateMay 23, 2007

Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration

✔ NPI 1205046570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in CA · 20A11243✔ Licensed in MI · 5101016919

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

6245 INKSTER RD, Garden City, MI 48135

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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 (PECOS)

Dr. Sunil Kumar Sethi D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show Sunil Sethi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

2,015 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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 48135 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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.

JOHN SWAN D.O

Emergency Medicine