SUSHIL M SETHI M.D.
NPI 1255318275
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Mansfield, OH

Q: What is Sushil Sethi's NPI number?

The NPI number for Sushil Sethi is 1255318275. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Q: What is Sushil Sethi's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Sushil Sethi was last updated on July 13, 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.

Active since December 30, 2005PECOS Enrolled

370 CLINE AVE, MANSFIELD, OH 44907(419) 756-4010(419) 756-4009 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Sushil M Sethi M.d. NPPES

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

SUSHIL M SETHI M.D. (NPI 1255318275) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Mansfield, Ohio, licensed in Ohio (35-06-2366-S) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255318275

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameSUSHIL M SETHICredential: M.D.

Location Address370 CLINE AVEMansfield, OH 44907-1057

Mailing Address370 Cline AveMansfield, OH 44907-1057 · (419) 756-4010 · Fax (419) 756-4009

Phone(419) 756-4010

Fax(419) 756-4009

Sole ProprietorNo

Enumeration DateDecember 30, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1255318275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in OH · 35-06-2366-S

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

370 CLINE AVE, Mansfield, OH 44907

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Other Identifiers 1

Medicaid0539617OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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)

Sushil M 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 44907 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

JORGE J BERGESE MD

Plastic Surgery

370 CLINE AVE
MANSFIELD, OH 44907

Richland County (419) 756-1125

DR. UCHENNA A EZIKE M.D

Internal Medicine (Infectious Disease)

370 CLINE AVE
MANSFIELD, OH 44907

Richland County (419) 709-9597

CHRISTINE M JUDSON RN CNP

Nurse Practitioner (Adult Health)

370 CLINE AVE, #B3
MANSFIELD, OH 44907

Richland County (419) 756-9995

DR. DINA LYNN AMBROSE DDS

Dentist (General Practice)

370 CLINE AVE
MANSFIELD, OH 44907

Richland County (419) 756-0111

MRS. NANCY HELEN CALHOUN ANP

Nurse Practitioner (Adult Health)

370 CLINE AVE
MANSFIELD, OH 44907

Richland County (419) 775-0042

MS. ANNA M COOK PA-C

Physician Assistant (Surgical)

370 CLINE AVE
MANSFIELD, OH 44907

Richland County (419) 756-0011

JORGE J. BERGESE, MD INC.

Plastic Surgery

370 CLINE AVE
MANSFIELD, OH 44907

Richland County (419) 756-1125

MANSFIELD PLASTIC SURGERY, LLC

Clinic/Center (Medical Specialty)

370 CLINE AVE
MANSFIELD, OH 44907

Richland County (419) 756-1125

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 Sushil Sethi's NPI number?

The NPI number for Sushil Sethi is 1255318275. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Sushil Sethi located?

Sushil Sethi practices at 370 Cline Ave, Mansfield, OH 44907. The listed phone number is (419) 756-4010.

What is Sushil Sethi's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Sushil Sethi enrolled in Medicare?

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

What insurance does Sushil Sethi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Sushil 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 Sushil Sethi was last updated on July 13, 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.