MRS. SHEFALI BHATT SETH FNP
NPI 1265942023
Nurse Practitioner - Family in Lombard, IL

Q: What is Shefali Seth's NPI number?

The NPI number for Shefali Seth is 1265942023. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Q: What is Shefali Seth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shefali Seth was last updated on July 29, 2022. 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 October 06, 2017PECOS Enrolled

29.87/100

CMS Quality Rating

1S072 LUTHER AVE, LOMBARD, IL 60148(630) 247-8877(630) 576-0580 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mrs. Shefali Bhatt Seth Fnp NPPES

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

MRS. SHEFALI BHATT SETH FNP (NPI 1265942023) is an individual family provider in Lombard, Illinois, licensed in Illinois (209016725) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265942023

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SHEFALI BHATT SETHCredential: FNP

Location Address1S072 LUTHER AVELombard, IL 60148-4164

Mailing Address2215 Spartina RdNaperville, IL 60564-5033 · (224) 402-0366

Phone(630) 247-8877

Fax(630) 576-0580

Sole ProprietorNo

Enumeration DateOctober 6, 2017

Last NPPES UpdateJuly 29, 2022

NPPES CertifiedJuly 29, 2022

✔ NPI 1265942023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209016725

1S072 LUTHER AVE, Lombard, IL 60148

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Other Identifiers 1

Other1053383125IL · Dr. Kiran Dhillon

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shefali Bhatt Seth Fnp 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 Shefali Seth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Id Associates Limited

3.9 mi

Infectious Disease

5 HUNT CLUB LN
Oak Brook, IL 60523

Reassigned Medicare billing, Illinois enrollment
8 clinicians in this Medicare group

NPI 1699201582 (630) 908-9876

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 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

2,656 services791 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

999 services823 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

923 services476 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

219 services203 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60148 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

29.87/100

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

Individually scored

Quality

Improvement Activities

Cost

99.57

Other Providers at the Same Location NPPES 7

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

ALEKSANDRA VARGAS FNP-BC

Nurse Practitioner (Family)