SAURABH SETHI M.D.
NPI 1215165600
Internal Medicine - Gastroenterology in Fremont, CA

Q: What is Saurabh Sethi's NPI number?

The NPI number for Saurabh Sethi is 1215165600. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Q: What is Saurabh Sethi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Saurabh Sethi was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 24, 2009PECOS EnrolledAccepts Medicare Assignment

48.34/100

CMS Quality Rating

2333 MOWRY AVE STE 200, FREMONT, CA 94538(510) 796-3400(510) 796-6306 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Saurabh Sethi M.d. NPPES

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

SAURABH SETHI M.D. (NPI 1215165600) is an individual gastroenterology provider in Fremont, California, licensed in California (A128757) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1215165600

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSAURABH SETHICredential: M.D.

Location Address2333 MOWRY AVE STE 200Fremont, CA 94538-1626

Mailing Address2333 Mowry Ave Ste 300Fremont, CA 94538-1626 · (510) 796-0222 · Fax (510) 796-7760

Phone(510) 796-3400

Fax(510) 796-6306

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateJune 24, 2009

Last NPPES UpdateMay 19, 2021

NPPES CertifiedMay 19, 2021

✔ NPI 1215165600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · A128757

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License A128757 (CA)

2333 MOWRY AVE STE 200, Fremont, CA 94538

Open in Google Maps ↗

Other Identifiers 1

Medicaid46645CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Saurabh Sethi M.d. 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 ID4981847829

PECOS Enrollment IDI20141219001576

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 15

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.

320 services198 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

299 services266 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

296 services176 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

183 services126 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

165 services165 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

153 services152 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

140 services136 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

117 services93 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

76 services76 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

41 services41 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

38 services38 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

15 services15 patients

Breath test analysis for helicobacter pylori 83013

A breath test for Helicobacter pylori is a non-invasive procedure that helps detect bacteria causing stomach issues. You'll swallow a harmless substance containing a special carbon atom. If the bacteria are present, they'll release this atom in your breath, which can be detected.

14 services14 patients

Administration of drug for helicobacter pylori 83014

Administering drugs for Helicobacter pylori involves taking a combination of antibiotics and proton pump inhibitors. This dual therapy helps to eliminate the bacteria from your stomach, reducing symptoms and preventing stomach ulcers or cancer.

14 services14 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

48.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

51.29

Promoting Interoperability

Improvement Activities

Cost

93.18

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%63 patients

Appropriate Treatment for Upper Respiratory Infection (URI)

98%65 patients4/55-star benchmark: 100%

Breast Cancer Screening

0%833 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%890 patients1/55-star benchmark: 98%

Colorectal Cancer Screening

0%1,575 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

48%371 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

0%268 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

93%268 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

0%3,033 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

5%676 patients1/55-star benchmark: 100%

Functional Status Assessments for Heart Failure

0%36 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

27%1,956 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%2,237 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

31%2,599 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 9% · 1,517 patients

9%1,517 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

21%307 patients1/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 752 patients

Patients totalRate: 1% · 752 patients

1%752 patients4/55-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.

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 Saurabh Sethi's NPI number?

The NPI number for Saurabh Sethi is 1215165600. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Saurabh Sethi located?

Saurabh Sethi practices at 2333 Mowry Ave Ste 200, Fremont, CA 94538. The listed phone number is (510) 796-3400.

What is Saurabh Sethi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Saurabh Sethi enrolled in Medicare?

Yes. Saurabh Sethi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Saurabh Sethi was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.