SHAWN JAY SETHI DO
NPI 1417487067
Emergency Medicine in Durham, NC
About Shawn Jay Sethi Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWN JAY SETHI DO (NPI 1417487067) is an individual emergency medicine provider in Durham, North Carolina, licensed in North Carolina (2023-00488) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
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
Shawn Jay Sethi Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Shawn Sethi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27710
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 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 9
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Duke University Hospital
Acute Care Hospitals · Durham, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
DURHAM, NC 27710
DURHAM, NC 27710
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 Shawn Sethi's NPI number?
The NPI number for Shawn Sethi is 1417487067. It was assigned to this individual provider in the NPPES registry on June 15, 2017.
Where is Shawn Sethi located?
Shawn Sethi practices at 2301 Erwin Rd, Durham, NC 27710. The listed phone number is (919) 684-2413.
What is Shawn Sethi's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Shawn Sethi enrolled in Medicare?
Yes. Shawn 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 organization bills Medicare for Shawn Sethi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Sethi reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Durham, NC). The 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 Shawn Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shawn Sethi affiliated with any hospitals?
According to CMS data, Shawn Sethi is affiliated with Duke University Hospital.
When was this NPI record last updated?
The NPPES record for Shawn Sethi was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shawn Jay Sethi, DO · NPI 1417487067
Emergency Medicine physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since June 15, 2017.
## Identity
- **NPI:** 1417487067 (Entity type: Individual)
- **Enumerated:** June 15, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2023-00488 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2301 ERWIN RD, Durham, NC 27710-3018
- **Phone:** (919) 684-2413
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Duke Health Integrated Practice, Inc. (NPI 1205553369, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417487067) · Data from the CMS NPPES public registry.