RADHIKA SUKUMAR SHETH MD
NPI 1285296343
Internal Medicine - Infectious Disease in Jakcson, MI

Q: What is Radhika Sheth's NPI number?

The NPI number for Radhika Sheth is 1285296343. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Q: What is Radhika Sheth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Radhika Sheth was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 28, 2019PECOS EnrolledAccepts Medicare Assignment

205 N. EAST AVE., GME - 2ND FLOOR CAB, JAKCSON, MI 49201(517) 205-7147(517) 205-7050 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Radhika Sukumar Sheth Md NPPES

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

RADHIKA SUKUMAR SHETH MD (NPI 1285296343) is an individual infectious disease provider in Jakcson, Michigan, licensed in Michigan (4301510680) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285296343

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameRADHIKA SUKUMAR SHETHCredential: MD

Location Address205 N. EAST AVE., GME - 2ND FLOOR CABJakcson, MI 49201-1753

Mailing Address205 N. East Ave., Gme - 2nd Floor CabJakcson, MI 49201-1753 · (517) 205-7147 · Fax (517) 205-7050

Phone(517) 205-7147

Fax(517) 205-7050

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 28, 2019

Last NPPES UpdateMay 17, 2024

NPPES CertifiedMay 17, 2024

✔ NPI 1285296343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in MI · 4301510680

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301510680 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351045289 (MI)

205 N. EAST AVE., Jakcson, MI 49201

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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 and accepts Medicare assignment

Radhika Sukumar Sheth 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 ID9739555483

PECOS Enrollment IDI20240522001848

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 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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

61 services29 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

33 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services25 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230092

Location205 N East AveJackson, MI 49201 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 6

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

MRS. LORI KATHRYN BRICKNER PA-C

Physician Assistant

205 N. EAST AVE.
JACKSON, MI 49201

Jackson County (517) 788-4800

LAMA AL JEBBAWI MD

Student in an Organized Health Care Education/Training Program

205 N. EAST AVE., GME, 2ND FLOOR CAB
JACKSON, MI 49201

Jackson County (517) 205-7147

UNKNOWN VARSHA M.D.

Student in an Organized Health Care Education/Training Program

205 N. EAST AVE., CAB 2ND FLR. GME
JACKSON, MI 49201

Jackson County (517) 205-7116

W.A. FOOTE MEMORIAL HOSPITAL, INC.

Internal Medicine (Infectious Disease)

205 N. EAST AVE.
JACKSON, MI 49201

Jackson County (517) 841-7843

DR. MANDEEP SINGH MALIK MD

Hospitalist

205 N. EAST AVE.
JACKSON, MI 49201

Jackson County (517) 205-7147

W.A. FOOTE MEMORIAL HOSPITAL, INC

Surgery

205 N. EAST AVE.
JACKSON, MI 49201

Jackson County (517) 841-7843

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 Radhika Sheth's NPI number?

The NPI number for Radhika Sheth is 1285296343. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Radhika Sheth located?

Radhika Sheth practices at 205 N. East Ave. Gme - 2nd Floor Cab, Jakcson, MI 49201. The listed phone number is (517) 205-7147.

What is Radhika Sheth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Radhika Sheth enrolled in Medicare?

Yes. Radhika Sheth 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.

What insurance does Radhika Sheth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Radhika Sheth 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.

Is Radhika Sheth affiliated with any hospitals?

According to CMS data, Radhika Sheth is affiliated with Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Radhika Sheth was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.