POOJA SETHI MD
NPI 1639458987
Internal Medicine - Cardiovascular Disease in Montgomery, AL

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4371 NARROW LANE RD, MONTGOMERY, AL 36116(334) 874-3463 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Sep 27, 2024, Jan 21, 2022 and 4 more (7 updates tracked since 2018).

About Pooja Sethi Md NPPES

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

POOJA SETHI MD (NPI 1639458987) is an individual cardiovascular disease provider in Montgomery, Alabama, licensed in Illinois (036175691) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1639458987
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NamePOOJA SETHICredential: MD
Location Address4371 NARROW LANE RDMontgomery, AL 36116-2971
Mailing Address3601 4th StLubbock, TX 79430-9410 · (334) 874-3463
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 4, 2011
Last NPPES UpdateSeptember 17, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1639458987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in IL · 036175691 Licensed in OR · MD221783 Licensed in TX · R7885
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedHospitalistTaxonomy 208M00000X · License R7885 (TX)
4371 NARROW LANE RD, Montgomery, AL 36116

Secondary Practice Locations 3

Location 1602 Indiana AveLubbock, TX 79415-3364 · Phone (806) 775-8200
Location 24600 Memorial Dr Ste W1Belleville, IL 62226-5359 · Phone (618) 233-3066
Location 3890 Oak St SESalem, OR 97301-3905 · Phone (503) 561-5200

Accepted 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

Pooja Sethi Md 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 ID1052661071
PECOS Enrollment IDI20240909003871, I20250806000756
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 19

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
545 services526 patients
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.
95 services79 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
94 services89 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
63 services63 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
51 services18 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
50 services50 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
4371 NARROW LANE RD, SUITE 100
MONTGOMERY, AL 36116
Family Medicine
4371 NARROW LANE RD
MONTGOMERY, AL 36116
Hospitalist
4371 NARROW LANE RD, SUITE 100
MONTGOMERY, AL 36116
Family Medicine
4371 NARROW LANE RD, SUITE 100
MONTGOMERY, AL 36116
Internal Medicine
4371 NARROW LANE RD, SUITE 100
MONTGOMERY, AL 36116
General Practice
4371 NARROW LANE RD, SUITE 100
MONTGOMERY, AL 36116
Family Medicine
4371 NARROW LANE RD
MONTGOMERY, AL 36116
Family Medicine
4371 NARROW LANE RD
MONTGOMERY, AL 36116

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 Pooja Sethi's NPI number?

The NPI number for Pooja Sethi is 1639458987. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Pooja Sethi located?

Pooja Sethi practices at 4371 Narrow Lane Rd, Montgomery, AL 36116. The listed phone number is (334) 874-3463.

What is Pooja Sethi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Pooja Sethi enrolled in Medicare?

Yes. Pooja 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 Pooja Sethi accept?

Health plans from Blue Cross and Blue Shield of Texas list Pooja 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 Pooja Sethi affiliated with any hospitals?

According to CMS data, Pooja Sethi is affiliated with Memorial Hospital and Salem Hospital.

When was this NPI record last updated?

The NPPES record for Pooja Sethi was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.