ROOPA SETHI M.D.
NPI 1316107931
Psychiatry & Neurology - Psychiatry in Roanoke, VA

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
2017 JEFFERSON ST SW, ROANOKE, VA 24014(540) 981-7695 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Roopa Sethi M.d. NPPES

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

ROOPA SETHI M.D. (NPI 1316107931) is an individual psychiatry provider in Roanoke, Virginia, licensed in Virginia (0116020102) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1316107931
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameROOPA SETHICredential: M.D.
Location Address2017 JEFFERSON ST SWRoanoke, VA 24014-2419
Mailing Address3325 Circle Brook Dr, Apt # DRoanoke, VA 24018-9425 · (540) 354-7673
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 17, 2008
NPI 1316107931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in VA · 0116020102
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.
2017 JEFFERSON ST SW, Roanoke, VA 24014

Accepted 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

Roopa Sethi M.d. 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 ID5092949271
PECOS Enrollment IDI20170329000970
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 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.

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.
30 services13 patients
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.
22 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

Psychiatry & Neurology (Psychiatry)
2017 JEFFERSON ST SW
ROANOKE, VA 24014
Psychiatry & Neurology (Psychiatry)
2017 JEFFERSON ST SW
ROANOKE, VA 24014
Nurse Practitioner (Psychiatric/Mental Health)
2017 JEFFERSON ST SW
ROANOKE, VA 24014
Psychiatry & Neurology (Psychiatry)
2017 JEFFERSON ST SW
ROANOKE, VA 24014
Nurse Practitioner (Psychiatric/Mental Health)
2017 JEFFERSON ST SW
ROANOKE, VA 24014
Psychiatry & Neurology (Psychiatry)
2017 JEFFERSON ST SW
ROANOKE, VA 24014
Counselor (Mental Health)
2017 JEFFERSON ST SW
ROANOKE, VA 24014
Nurse Practitioner (Family)
2017 JEFFERSON ST SW
ROANOKE, VA 24014

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 Roopa Sethi's NPI number?

The NPI number for Roopa Sethi is 1316107931. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Roopa Sethi located?

Roopa Sethi practices at 2017 Jefferson St SW, Roanoke, VA 24014. The listed phone number is (540) 981-7695.

What is Roopa Sethi's specialty?

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

Is Roopa Sethi enrolled in Medicare?

Yes. Roopa 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.

What insurance does Roopa Sethi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Roopa 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.

Is Roopa Sethi affiliated with any hospitals?

According to CMS data, Roopa Sethi is affiliated with University Of Kansas Hospital.

When was this NPI record last updated?

The NPPES record for Roopa Sethi was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.