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JESSE S SETHI MD
NPI 1528033917
Internal Medicine - Cardiovascular Disease in Peoria, AZ

Active since February 21, 2006PECOS Enrolled
13460 N 94TH DR STE J1, PEORIA, AZ 85381(623) 876-8816(623) 298-0168 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jesse S Sethi Md NPPES

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

JESSE S SETHI MD (NPI 1528033917) is an individual cardiovascular disease provider in Peoria, Arizona, licensed in Arizona (35076) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528033917
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJESSE S SETHICredential: MD
Location Address13460 N 94TH DR STE J1Peoria, AZ 85381-4246
Mailing Address13460 N 94th Dr Ste J1Peoria, AZ 85381-4246 · (623) 876-8816 · Fax (623) 298-0168
Phone(623) 876-8816
Fax(623) 298-0168
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateMay 15, 2019
✔ NPI 1528033917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in AZ · 35076
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
13460 N 94TH DR STE J1, Peoria, AZ 85381
Open in Google Maps ↗

Other Identifiers 2

OtherWCFKQAZ · Sun Health Physicians
Medicaid181235AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse S Sethi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Jesse Sethi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Joseph A Caplan MD PC
Same address
Cardiovascular Disease
13460 N 94TH DR STE J1
Peoria, AZ 85381
  • Reassigned Medicare billing, Arizona enrollment
  • 47 clinicians in this Medicare group
NPI 1649389156 (623) 876-8816
Provider Profile
8.0 mi
Family Medicine
3201 W PEORIA AVE STE D805
Phoenix, AZ 85029
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1619074358 (602) 569-5437
Usa Vein Clinics Of Phoenix PLLC
18 mi
Vascular Surgery
2600 N 44TH ST FL 1
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 4 clinicians in this Medicare group
NPI 1235885716 (602) 734-4405

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

MOUSTAFA BANNA MD
Internal Medicine (Cardiovascular Disease)
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Maricopa County (623) 876-8816
MR. MATTHEW S BURROWS APRN-NP, AGACNP-BC
Nurse Practitioner (Acute Care)
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Maricopa County (623) 876-8816
KIMIA ROBINSON DNP, APRN, FNP-BC
Nurse Practitioner
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Maricopa County (623) 876-8816
KATARINA ARMSTRONG PA-C
Physician Assistant
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Maricopa County (623) 876-8816
SAIFULDEEN AWF ABDULRAHMAN AL QAISI MD
Internal Medicine (Interventional Cardiology)
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Maricopa County (623) 876-8816
ANNE ALLBEE MPA, RD, PA-C
Physician Assistant
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Maricopa County (623) 876-8816
SAAGAR KETAN UNARKER
Physician Assistant
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Maricopa County (623) 876-8816
ABBY LANGTON PA-C
Physician Assistant
13460 N 94TH DR STE J1
PEORIA, AZ 85381
Maricopa County (623) 876-8816

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 Jesse Sethi's NPI number?

The NPI number for Jesse Sethi is 1528033917. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Jesse Sethi located?

Jesse Sethi practices at 13460 N 94th Dr Ste J1, Peoria, AZ 85381. The listed phone number is (623) 876-8816.

What is Jesse Sethi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jesse Sethi enrolled in Medicare?

Yes. Jesse Sethi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jesse Sethi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Sethi reassigns Medicare benefits to 3 organizations: Joseph A Caplan MD PC (Peoria, AZ), (Phoenix, AZ) and Usa Vein Clinics Of Phoenix PLLC (Phoenix, AZ). 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 Jesse Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesse Sethi accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Jesse 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 Jesse Sethi was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.