HANISH SETHI MD
NPI 1215967328
Psychiatry & Neurology - Psychiatry in Ocoee, FL

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
10125 W COLONIAL DR STE 212, OCOEE, FL 34761(833) 769-3524(407) 232-9439 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2026, Dec 29, 2025, Jan 20, 2023 (3 updates tracked since 2023).

About Hanish Sethi Md NPPES

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

HANISH SETHI MD (NPI 1215967328) is an individual psychiatry provider in Ocoee, Florida, licensed in Florida (ME120989) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1215967328
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameHANISH SETHICredential: MD
Location Address10125 W COLONIAL DR STE 212Ocoee, FL 34761-4200
Mailing Address10125 W Colonial Dr Ste 212Ocoee, FL 34761-4200 · (833) 769-3524 · Fax (407) 232-9439
Fax(407) 232-9439
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 4, 2006
Last NPPES UpdateAugust 14, 20263 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1215967328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in FL · ME120989✔ Licensed in OH · 35.083341
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
10125 W COLONIAL DR STE 212, Ocoee, FL 34761

Secondary Practice Locations 3

Location 1200 Avenue F NEWinter Haven, FL 33881-4131 · Phone (866) 792-1743 · Fax (727) 816-1222
Location 2700 W Oak StKissimmee, FL 34741-4924 · Phone (407) 847-0113 · Fax (407) 847-0183
Location 3484 County Line Rd W Ste 130Westerville, OH 43082-7246 · Phone (216) 468-5000

Other Identifiers 3

Medicaid64094550KY
Medicaid2465701OH
Medicaid200507860AIN

Accepted Insurance

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

Hanish 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 ID2860382652
PECOS Enrollment IDI20150223000882
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

5

Medicare enrollment records show Hanish Sethi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Hospital
6601 CENTRAL FLORIDA PKWY
Orlando, FL 32821
  • Reassigned Medicare billing, Florida enrollment
  • 18 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
14541 7TH ST
Dade City, FL 33523
  • Reassigned Medicare billing, Florida enrollment
  • 224 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2470 BLOOMINGDALE AVE STE 123
Valrico, FL 33596
  • Reassigned Medicare billing, Florida enrollment
  • 188 clinicians in this Medicare group
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Florida enrollment
  • 408 clinicians in this Medicare group
Family
4850 SMITH RD STE 250
Cincinnati, OH 45212
  • Reassigned Medicare billing, Ohio enrollment
  • 79 clinicians in this Medicare group

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 2

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.
100 services34 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34761 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
10125 W COLONIAL DR STE 212
OCOEE, FL 34761
Counselor (Mental Health)
10125 W COLONIAL DR STE 212
OCOEE, FL 34761
Social Worker (Clinical)
10125 W COLONIAL DR STE 212
OCOEE, FL 34761
Counselor (Mental Health)
10125 W COLONIAL DR STE 212
OCOEE, FL 34761
Counselor (Mental Health)
10125 W COLONIAL DR STE 212
OCOEE, FL 34761
Counselor (Mental Health)
10125 W COLONIAL DR STE 212
OCOEE, FL 34761
Social Worker (Clinical)
10125 W COLONIAL DR STE 212
OCOEE, FL 34761
Counselor (Mental Health)
10125 W COLONIAL DR STE 212
OCOEE, FL 34761

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 Hanish Sethi's NPI number?

The NPI number for Hanish Sethi is 1215967328. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Hanish Sethi located?

Hanish Sethi practices at 10125 W Colonial Dr Ste 212, Ocoee, FL 34761. The listed phone number is (833) 769-3524.

What is Hanish Sethi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Hanish Sethi enrolled in Medicare?

Yes. Hanish 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.

Which organizations bill Medicare for Hanish Sethi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hanish Sethi reassigns Medicare benefits to 5 organizations: La Amistad Residential Treatment Center LLC (Orlando, FL), Baycare Behavioral Health Inc. (Dade City, FL), Behavioral Health Management Services, Inc. (Valrico, FL), Personal Recovery Network LLC (Stockbridge, GA) and Medical Housecalls LLC (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hanish Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hanish Sethi accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Hanish 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 Hanish Sethi was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.