DR. SHIKHA SETHI M.D.
NPI 1326268087
Physical Medicine & Rehabilitation in Carrollton, TX

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4780 N JOSEY LN, CARROLLTON, TX 75010(972) 492-1334(972) 492-5174 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shikha Sethi M.d. NPPES

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

DR. SHIKHA SETHI M.D. (NPI 1326268087) is an individual physical medicine & rehabilitation provider in Carrollton, Texas, licensed in Texas (M6874) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital For Surgery, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1326268087
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameDR. SHIKHA SETHICredential: M.D.
Location Address4780 N JOSEY LNCarrollton, TX 75010-4615
Mailing Address4780 N Josey LnCarrollton, TX 75010-4615 · (972) 492-1334 · Fax (972) 492-5174
Fax(972) 492-5174
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 26, 2007
Last NPPES UpdateFebruary 1, 2017
NPI 1326268087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in TX · M6874
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License M6874 (TX)
4780 N JOSEY LN, Carrollton, TX 75010

Other Identifiers 5

Other8CR156TX · Bcbs Tx 02/01/2011
OtherP00913359TX · Railroad Medicare
Medicare NSC6484850003TX
Medicare PIN8K0978TX
OtherTXB117512TX · Medicare Part B - Effect 02/01/2011

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

Dr. Shikha 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 ID6507946456
PECOS Enrollment IDI20080103000713
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 30

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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
453 services310 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.
421 services302 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
313 services302 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
312 services242 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484
This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
302 services219 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
148 services148 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670073
Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County
Emergency services

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
3%819 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%554 patients5/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
80%819 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
1%819 patients1/55-star benchmark: 75%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Clinic/Center (Radiology)
4780 N JOSEY LN
CARROLLTON, TX 75010
Physical Therapist
4780 N JOSEY LN
CARROLLTON, TX 75010
Orthopaedic Surgery
4780 N JOSEY LN
CARROLLTON, TX 75010
Physician Assistant
4780 N JOSEY LN
CARROLLTON, TX 75010
Clinic/Center (Magnetic Resonance Imaging (MRI))
4780 N JOSEY LN
CARROLLTON, TX 75010
Physician Assistant
4780 N JOSEY LN
CARROLLTON, TX 75010
Orthopaedic Surgery
4780 N JOSEY LN
CARROLLTON, TX 75010
Physical Therapist
4780 N JOSEY LN
CARROLLTON, TX 75010

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 Shikha Sethi's NPI number?

The NPI number for Shikha Sethi is 1326268087. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Shikha Sethi located?

Shikha Sethi practices at 4780 N Josey Ln, Carrollton, TX 75010. The listed phone number is (972) 492-1334.

What is Shikha Sethi's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Shikha Sethi enrolled in Medicare?

Yes. Shikha 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 Shikha Sethi accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Molina Healthcare list Shikha 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 Shikha Sethi affiliated with any hospitals?

According to CMS data, Shikha Sethi is affiliated with Methodist Hospital For Surgery.

When was this NPI record last updated?

The NPPES record for Shikha Sethi was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.