DR. AMIT SETHI DDS
NPI 1538643358
Dentist - Oral and Maxillofacial Surgery in Boston, MA

Active since September 18, 2018PECOS EnrolledAccepts Medicare Assignment
100 E NEWTON ST # G407, BOSTON, MA 02118(617) 358-6628 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Amit Sethi Dds NPPES

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

DR. AMIT SETHI DDS (NPI 1538643358) is an individual oral and maxillofacial surgery provider in Boston, Massachusetts, licensed in Massachusetts (DF11400) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1538643358
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. AMIT SETHICredential: DDS
Location Address100 E NEWTON ST # G407Boston, MA 02118-2308
Mailing Address58 Bay State Rd Apt 3Boston, MA 02215-1910 · (617) 721-4993
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 18, 2018
✔ NPI 1538643358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MA · DF11400
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
100 E NEWTON ST # G407, Boston, MA 02118

Other Identifiers 1

OtherDF11400MA · Board Of Registration In Dentistry, Commonwealth Of Massachusetts

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

Dr. Amit Sethi Dds 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 ID3971933102
PECOS Enrollment IDI20200430001200
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 Reassignment

Medicare enrollment records show Amit Sethi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oral and Maxillofacial Surgery
100 E NEWTON ST, G407
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 42 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.

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Amit Sethi's NPI number?

The NPI number for Amit Sethi is 1538643358. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Amit Sethi located?

Amit Sethi practices at 100 E Newton St # G407, Boston, MA 02118. The listed phone number is (617) 358-6628.

What is Amit Sethi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Amit Sethi enrolled in Medicare?

Yes. Amit 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 Amit Sethi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amit Sethi reassigns Medicare benefits to Trustees Of Boston University (Boston, MA). 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 Amit Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amit Sethi accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Amit 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 Amit Sethi affiliated with any hospitals?

According to CMS data, Amit Sethi is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Amit Sethi was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.