SUNAINA SETHI
NPI 1528928827
Nurse Practitioner in Austin, TX
About Sunaina Sethi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNAINA SETHI (NPI 1528928827) is an individual nurse practitioner in Austin, Texas, licensed in Texas (1231321) and active in the NPI registry since November 2025. The provider is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
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
Sunaina Sethi 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 Sunaina Sethi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 104 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Seton Medical Center Austin
Acute Care Hospitals · Austin, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
AUSTIN, TX 78705
AUSTIN, TX 78705
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 Sunaina Sethi's NPI number?
The NPI number for Sunaina Sethi is 1528928827. It was assigned to this individual provider in the NPPES registry on November 18, 2025.
Where is Sunaina Sethi located?
Sunaina Sethi practices at 1201 W 38th St, Austin, TX 78705. The listed phone number is (512) 324-1000.
What is Sunaina Sethi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Sunaina Sethi enrolled in Medicare?
Yes. Sunaina 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 Sunaina Sethi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sunaina Sethi reassigns Medicare benefits to Usacs Critical Care Medicine Services Of Texas, PLLC (Cedar Park, TX). 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 Sunaina Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sunaina Sethi accept?
Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Sunaina 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 Sunaina Sethi affiliated with any hospitals?
According to CMS data, Sunaina Sethi is affiliated with Ascension Seton Medical Center Austin.
When was this NPI record last updated?
The NPPES record for Sunaina Sethi was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Sunaina Sethi · NPI 1528928827
Nurse Practitioner physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since November 18, 2025.
## Identity
- **NPI:** 1528928827 (Entity type: Individual)
- **Enumerated:** November 18, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1231321 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 W 38TH ST, Austin, TX 78705-1006
- **Phone:** (512) 324-1000
## 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:** Usacs Critical Care Medicine Services Of Texas, PLLC (NPI 1023522554, Cedar Park, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** May 11, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1528928827) · Data from the CMS NPPES public registry.