AKHIL SETHI MD
NPI 1376710160
Psychiatry & Neurology - Psychiatry in Marlton, NJ

Active since May 12, 2008PECOS EnrolledAccepts Medicare Assignment
765 ROUTE 70 E BLDG A100, MARLTON, NJ 08053(856) 983-3900(856) 797-4785 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Akhil Sethi Md NPPES

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

AKHIL SETHI MD (NPI 1376710160) is an individual psychiatry provider in Marlton, New Jersey, licensed in New Jersey (25MA08671100) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1376710160
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameAKHIL SETHICredential: MD
Location Address765 ROUTE 70 E BLDG A100Marlton, NJ 08053-2341
Mailing Address765 Route 70 E Bldg A100Marlton, NJ 08053-2341 · (856) 983-3900 · Fax (856) 797-4785
Fax(856) 797-4785
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMay 12, 2008
Last NPPES UpdateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
✔ NPI 1376710160 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 NJ · 25MA08671100
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.
765 ROUTE 70 E BLDG A100, Marlton, NJ 08053

Other Identifiers 2

Medicaid0231746NJ
Medicaid2840546OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Akhil Sethi 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 ID1355415639
PECOS Enrollment IDI20101124000571
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 Reassignments

2

Medicare enrollment records show Akhil Sethi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
Geriatric Psychiatry
765 EAST ROUTE 70, BUILDING A
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 219 clinicians in this Medicare group

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 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.
339 services52 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
163 services53 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services22 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Counselor (Professional)
765 ROUTE 70 E BLDG A100
MARLTON, NJ 08053
Psychiatry & Neurology (Psychiatry)
765 ROUTE 70 E BLDG A100
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E BLDG A100
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E BLDG A100
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E BLDG A100
MARLTON, NJ 08053
Counselor (Professional)
765 ROUTE 70 E BLDG A100
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E BLDG A100
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E BLDG A100
MARLTON, NJ 08053

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 Akhil Sethi's NPI number?

The NPI number for Akhil Sethi is 1376710160. It was assigned to this individual provider in the NPPES registry on May 12, 2008.

Where is Akhil Sethi located?

Akhil Sethi practices at 765 Route 70 E Bldg A100, Marlton, NJ 08053. The listed phone number is (856) 983-3900.

What is Akhil Sethi's specialty?

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

Is Akhil Sethi enrolled in Medicare?

Yes. Akhil 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.

Which organizations bill Medicare for Akhil Sethi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Akhil Sethi reassigns Medicare benefits to 2 organizations: Advocare, LLC (Marlton, NJ) and Center For Family Guidance, PC (Marlton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Akhil Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Akhil Sethi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Akhil 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 Akhil Sethi was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.