DR. DHRUV SETHI MD, MBA, MPH
NPI 1609440353
Ophthalmology in Fairfax, VA
About Dr. Dhruv Sethi Md, Mba, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DHRUV SETHI MD, MBA, MPH (NPI 1609440353) is an individual ophthalmology provider in Fairfax, Virginia, licensed in Virginia (0101285545) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Inova Fair Oaks Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Dr. Dhruv Sethi Md, Mba, Mph 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 Reassignments
2Medicare enrollment records show Dhruv Sethi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia enrollment
- 74 clinicians in this Medicare group
Greenbelt, MD 20770
- Reassigned Medicare billing, District of Columbia, Maryland and Virginia enrollments
- 69 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.
Inova Fair Oaks Hospital
Acute Care Hospitals · Fairfax, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22031 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22031
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 Dhruv Sethi's NPI number?
The NPI number for Dhruv Sethi is 1609440353. It was assigned to this individual provider in the NPPES registry on May 18, 2021.
Where is Dhruv Sethi located?
Dhruv Sethi practices at 8270 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031. The listed phone number is (703) 698-9335.
What is Dhruv Sethi's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Dhruv Sethi enrolled in Medicare?
Yes. Dhruv 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 organizations bill Medicare for Dhruv Sethi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dhruv Sethi reassigns Medicare benefits to 2 organizations: Washington National Eye Center (Washington, DC) and The Retina Group Of Washington, PLLC (Greenbelt, MD). 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 Dhruv Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dhruv Sethi accept?
Health plans from Oscar Health list Dhruv 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 Dhruv Sethi affiliated with any hospitals?
According to CMS data, Dhruv Sethi is affiliated with Inova Fair Oaks Hospital.
When was this NPI record last updated?
The NPPES record for Dhruv Sethi was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.
# Dr. Dhruv Sethi, MD, MBA, MPH · NPI 1609440353
Ophthalmology physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since May 18, 2021.
## Identity
- **NPI:** 1609440353 (Entity type: Individual)
- **Enumerated:** May 18, 2021
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 0101285545 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8270 WILLOW OAKS CORPORATE DR STE 600, Fairfax, VA 22031-4522
- **Phone:** (703) 698-9335
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Washington National Eye Center (NPI 1437175684, Washington, DC); The Retina Group Of Washington, PLLC (NPI 1225001654, Greenbelt, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** October 5, 2026
- **Other identifiers:** Medicaid 048803186 (DC); Medicaid 201813601 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1609440353) · Data from the CMS NPPES public registry.