DR. SONAL SETHI M.D
NPI 1437348281
Internal Medicine - Medical Oncology in Pearland, TX

Active since October 17, 2007PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
10970 SHADOW CREEK PKWY, SUITE 280, PEARLAND, TX 77584(713) 436-7500(713) 436-7505 Get Directions Write a Review

NPPES record last updated: June 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sonal Sethi M.d NPPES

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

DR. SONAL SETHI M.D (NPI 1437348281) is an individual medical oncology provider in Pearland, Texas, licensed in Texas (M2472) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1437348281
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameDR. SONAL SETHICredential: M.D
Location Address10970 SHADOW CREEK PKWY, SUITE 280Pearland, TX 77584-0100
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 234-0813
Fax(713) 436-7505
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 17, 2007
Last NPPES UpdateJune 6, 2011
NPI 1437348281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in TX · M2472
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License M2472 (TX)
10970 SHADOW CREEK PKWY, Pearland, TX 77584

Other Identifiers 11

Medicare PINTXB110399TX
Medicaid196295304TX
Medicare PIN8L5591TX
Medicaid196295303TX
Medicaid196295301TX
Medicare PIN8L1399TX
Medicare PIN8L1398TX
Other8AQ009TX · Bcbs
Medicaid196295302TX
Medicare PINTXB121538TX
OtherP00644825TX · Railroad Medicare

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. Sonal 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 ID4385712264
PECOS Enrollment IDI20081006000083
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 20

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, palonosetron hcl, 25 mcg J2469
Palonosetron HCL is an injection used to prevent nausea and vomiting caused by chemotherapy. It works by blocking a natural substance (serotonin) in the body that can cause vomiting. This helps improve your comfort during cancer treatment.
420 services12 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
376 services11 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
322 services87 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
313 services89 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
186 services70 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.
180 services84 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Pearland

Acute Care Hospitals · Pearland, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670106
Location11100 Shadow Creek ParkwayPearland, TX 77584 · Brazoria County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77584 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
$172.89 typical visit price
range $57.16 – $172.89
Typical copayment $43.22 (range $14.29 – $43.22)
Most-billed visit code 99205
Established Patient
$100.84 typical visit price
range $18.45 – $141.27
Typical copayment $25.21 (range $4.61 – $35.31)
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.

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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
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.

Clinic/Center (Primary Care)
10970 SHADOW CREEK PKWY, SUITE 250
PEARLAND, TX 77584
Family Medicine
10970 SHADOW CREEK PKWY, PEARLAND EMERGENCY CENTER
PEARLAND, TX 77584
Obstetrics & Gynecology
10970 SHADOW CREEK PKWY, SUITE NUMBER 250
PEARLAND, TX 77584
Dietitian, Registered
10970 SHADOW CREEK PKWY, SUITE 270
PEARLAND, TX 77584
Chiropractor
10970 SHADOW CREEK PKWY, SUITE 250
PEARLAND, TX 77584
Surgery (Plastic and Reconstructive Surgery)
10970 SHADOW CREEK PKWY, STE 110
PEARLAND, TX 77584
Clinic/Center (Medical Specialty)
10970 SHADOW CREEK PKWY, SUITE 270
PEARLAND, TX 77584
Family Medicine
10970 SHADOW CREEK PKWY, SUITE 250
PEARLAND, TX 77584

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 Sonal Sethi's NPI number?

The NPI number for Sonal Sethi is 1437348281. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Where is Sonal Sethi located?

Sonal Sethi practices at 10970 Shadow Creek Pkwy Suite 280, Pearland, TX 77584. The listed phone number is (713) 436-7500.

What is Sonal Sethi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Sonal Sethi enrolled in Medicare?

Yes. Sonal 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 Sonal Sethi accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Sonal 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 Sonal Sethi affiliated with any hospitals?

According to CMS data, Sonal Sethi is affiliated with Memorial Hermann Hospital System and Hca Houston Healthcare Pearland.

When was this NPI record last updated?

The NPPES record for Sonal Sethi was last updated on June 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.