MONICA SETHI MD
NPI 1619288156
Internal Medicine - Geriatric Medicine in Abington, PA

NPI Status: Active since June 30, 2010

Contact Information

1200 OLD YORK RD
ABINGTON, PA
ZIP 19001
Phone: (215) 481-2606

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  • Individual
  • Female
  • Internal Medicine
  • Geriatric Medicine
  • PECOS Enrolled

About MONICA SETHI

This page provides the complete NPI Profile along with additional information for Monica Sethi, an internist established in Abington, Pennsylvania with a medical specialization in Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1619288156 assigned on June 2010. The practitioner's primary taxonomy code is 207RG0300X with license number MT196545 (PA). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1619288156
Provider Name
MONICA SETHI MD
Gender
Female
Entity Type
Individual
Location Address
1200 OLD YORK RD ABINGTON, PA 19001
Location Phone
(215) 481-2606
Mailing Address
1200 OLD YORK RD ABINGTON, PA 19001
Mailing Phone
(215) 481-2606
Is Sole Proprietor?
No
Enumeration Date
06-30-2010
Last Update Date
06-30-2010
Code Navigator

An internist like Monica Sethi is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Geriatric Medicine

Taxonomy Code
207RG0300X
Type
Allopathic & Osteopathic Physicians
License No.
MT196545
License State
PA
Taxonomy Description
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Medicare Participation & PECOS Enrollment Status

Monica Sethi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

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.

This service was performed 27 times for 15 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 68 times for 29 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19001 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $180.99
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $45.24
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MONICA SETHI MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619288156, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 4 + 8 + 1 + 6 + 1 + 1 + 0 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1619288156.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Nurse Anesthetist, Certified Registered
1200 OLD YORK RD
ABINGTON, PA 19001
Specialist
1200 OLD YORK RD
ABINGTON, PA 19001
Radiology (Diagnostic Radiology)
1200 OLD YORK RD
ABINGTON, PA 19001
Emergency Medicine (Emergency Medical Services)
1200 OLD YORK RD
ABINGTON, PA 19001
Internal Medicine (Cardiovascular Disease)
1200 OLD YORK RD
ABINGTON, PA 19001
Internal Medicine (Cardiovascular Disease)
1200 OLD YORK RD
ABINGTON, PA 19001
Internal Medicine (Cardiovascular Disease)
1200 OLD YORK RD
ABINGTON, PA 19001
Internal Medicine (Cardiovascular Disease)
1200 OLD YORK RD
ABINGTON, PA 19001
Internal Medicine (Cardiovascular Disease)
1200 OLD YORK RD
ABINGTON, PA 19001
Psychiatric Unit
1200 OLD YORK RD
ABINGTON, PA 19001
Rehabilitation Unit
1200 OLD YORK RD
ABINGTON, PA 19001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619288156, enumerated as an "individual" on June 30, 2010.

The provider is located at 1200 OLD YORK RD ABINGTON, PA 19001 and the phone number is (215) 481-2606.

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.