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DR. KANWARDEEP SINGH SETHI M.D.
NPI 1548577943
Psychiatry & Neurology - Psychiatry in Allentown, PA

Active since September 07, 2010PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
2895 HAMILTON BLVD, ALLENTOWN, PA 18104(408) 821-1442 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2019, Apr 23, 2018 (2 updates tracked since 2018).

About Dr. Kanwardeep Singh Sethi M.d. NPPES

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

DR. KANWARDEEP SINGH SETHI M.D. (NPI 1548577943) is an individual psychiatry provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD468270) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1548577943
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KANWARDEEP SINGH SETHICredential: M.D.
Location Address2895 HAMILTON BLVDAllentown, PA 18104-6172
Mailing Address2895 Hamilton BlvdAllentown, PA 18104-6172 · (408) 821-1442
Phone(408) 821-1442
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 7, 2010
Last NPPES UpdateAugust 8, 20192 updates tracked since enumeration
✔ NPI 1548577943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in PA · MD468270✔ Licensed in MA · 244739✔ Licensed in NH · 16386
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2895 HAMILTON BLVD, Allentown, PA 18104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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. Kanwardeep Singh 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 ID4981848603
PECOS Enrollment IDI20190829002931
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
207 services104 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
92 services44 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
46 services30 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
22 services22 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.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
18%335 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
23%112 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
32%139 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. DANIEL TYLER KRATZER D.M.D., M.ED., B.A.
Dentist (Orthodontics and Dentofacial Orthopedics)
2895 HAMILTON BLVD, 207
ALLENTOWN, PA 18104
Lehigh County (610) 405-0115
MARISSA A WEAVER PA-C
Physician Assistant (Medical)
2895 HAMILTON BLVD, SUITE 104
ALLENTOWN, PA 18104
Lehigh County (610) 435-8986
KELLY SUSAN FORTNER DPT
Physical Therapist
2895 HAMILTON BLVD, SUITE 105
ALLENTOWN, PA 18104
Lehigh County (610) 841-3555
HOUSHANG G HAMADANI MD DPSYCH PC
Psychiatry & Neurology (Psychosomatic Medicine)
2895 HAMILTON BLVD, SUITE 103
ALLENTOWN, PA 18104
Lehigh County (610) 820-0644
NICHOLAS HOROWSKI MSPT
Physical Therapist
2895 HAMILTON BLVD, SUITE 105
ALLENTOWN, PA 18104
Lehigh County (610) 841-3555
FARHAD SHOLEVAR, LLC
Psychiatry & Neurology (Psychiatry)
2895 HAMILTON BLVD, SUITE 104
ALLENTOWN, PA 18104
Lehigh County (610) 435-8989
MR. MICHAEL STANLEY TARAS D.M.D.
Dentist (General Practice)
2895 HAMILTON BLVD, SUITE 106
ALLENTOWN, PA 18104
Lehigh County (610) 432-1320
ORTHOALLIANCE LP
Home Health
2895 HAMILTON BLVD, SUITE 102
ALLENTOWN, PA 18104
Lehigh County (786) 556-9045

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 Kanwardeep Sethi's NPI number?

The NPI number for Kanwardeep Sethi is 1548577943. It was assigned to this individual provider in the NPPES registry on September 7, 2010.

Where is Kanwardeep Sethi located?

Kanwardeep Sethi practices at 2895 Hamilton Blvd, Allentown, PA 18104. The listed phone number is (408) 821-1442.

What is Kanwardeep Sethi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kanwardeep Sethi enrolled in Medicare?

Yes. Kanwardeep 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 Kanwardeep Sethi accept?

Health plans from WellSense Health Plan list Kanwardeep 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 Kanwardeep Sethi affiliated with any hospitals?

According to CMS data, Kanwardeep Sethi is affiliated with St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Kanwardeep Sethi was last updated on August 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.