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DR. SHIVANI SETHI M.D.
NPI 1235453705
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Marietta, GA

Active since March 26, 2010PECOS Enrolled
355 TOWER RD NE STE 102, MARIETTA, GA 30060(770) 422-4055(770) 528-6977 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2019, Feb 28, 2019 (2 updates tracked since 2019).

About Dr. Shivani Sethi M.d. NPPES

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

DR. SHIVANI SETHI M.D. (NPI 1235453705) is an individual pediatric ophthalmology and strabismus specialist in Marietta, Georgia, licensed in Georgia (073394) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235453705
Entity TypeIndividualFemale
Primary Taxonomy207WX0110X
Provider Legal NameDR. SHIVANI SETHICredential: M.D.
Location Address355 TOWER RD NE STE 102Marietta, GA 30060-9410
Mailing Address3225 Cumberland Blvd Se, Suite 900Atlanta, GA 30339-6407 · (404) 351-2220 · Fax (404) 352-5392
Phone(770) 422-4055
Fax(770) 528-6977
Sole ProprietorNo
Enumeration DateMarch 26, 2010
Last NPPES UpdateMarch 5, 20192 updates tracked since enumeration
✔ NPI 1235453705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in GA · 073394
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License 073394 (GA)
355 TOWER RD NE STE 102, Marietta, GA 30060
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Other Identifiers 1

Medicaid003160162AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shivani Sethi M.d. 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 30060 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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

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

MARC F GREENBERG MD
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
355 TOWER RD NE STE 102
MARIETTA, GA 30060
Cobb County (770) 422-4055

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 Shivani Sethi's NPI number?

The NPI number for Shivani Sethi is 1235453705. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

Where is Shivani Sethi located?

Shivani Sethi practices at 355 Tower Rd NE Ste 102, Marietta, GA 30060. The listed phone number is (770) 422-4055.

What is Shivani Sethi's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Shivani Sethi enrolled in Medicare?

Yes. Shivani Sethi is registered in the Medicare PECOS enrollment system.

What insurance does Shivani Sethi accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Shivani 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 Shivani Sethi was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.