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RUCHI SETHI M.D.
NPI 1699726323
Internal Medicine - Cardiovascular Disease in Hackensack, NJ

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
211 ESSEX ST, SUITE 306, HACKENSACK, NJ 07601(201) 343-2050(201) 343-4512 Get Directions Write a Review

NPPES record last updated: January 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ruchi Sethi M.d. NPPES

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

RUCHI SETHI M.D. (NPI 1699726323) is an individual cardiovascular disease provider in Hackensack, New Jersey, licensed in New Jersey (25MA07067400) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Northwestern University Feinberg Medical School (1996).

NPPES Registry Identity

NPI1699726323
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameRUCHI SETHICredential: M.D.
Location Address211 ESSEX ST, SUITE 306Hackensack, NJ 07601-3231
Mailing Address211 Essex St, Suite 306Hackensack, NJ 07601-3231 · (201) 343-2050 · Fax (201) 343-4512
Phone(201) 343-2050
Fax(201) 343-4512
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1996
Enumeration DateMay 15, 2006
Last NPPES UpdateJanuary 6, 2014
✔ NPI 1699726323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NJ · 25MA07067400
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.
211 ESSEX ST, Hackensack, NJ 07601
Open in Google Maps ↗

Other Names 1

Former Name (1)Ruchi Shah M.d.

Other Identifiers 2

Medicare UPINI05406NJ
Medicare ID-Type Unspecified078424BU4NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Ruchi 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 ID8729062963
PECOS Enrollment IDI20040616000047
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 10

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.
227 services120 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
89 services85 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
74 services74 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
74 services74 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.
68 services68 patients
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.
58 services58 patients

Hospital Affiliations CMS Care Compare

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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. MUKESH SOLANKY MD
Specialist
211 ESSEX ST, SUITE 202
HACKENSACK, NJ 07601
Bergen County (201) 488-1515
BERGEN SURGICAL SPECIALISTS, PA
Specialist
211 ESSEX ST, SUITE 102
HACKENSACK, NJ 07601
Bergen County (201) 487-8882
BYER & KEYS PA
Surgery
211 ESSEX ST, SUITE 102
HACKENSACK, NJ 07601
Bergen County (201) 487-8882
DR. CHING SHIEH
Dentist
211 ESSEX ST, SUITE 105
HACKENSACK, NJ 07601
Bergen County (201) 342-8999
DR. MARIO VUKIC MD
Specialist
211 ESSEX ST, SUITE 202
HACKENSACK, NJ 07601
Bergen County (201) 488-1515
DR. EMANUELE A SANTOMAURO MD
Internal Medicine (Pulmonary Disease)
211 ESSEX ST
HACKENSACK, NJ 07601
Bergen County (201) 498-1311
DAVID P. BLEEKER MD
Internal Medicine
211 ESSEX ST, SUITE 401
HACKENSACK, NJ 07601
Bergen County (201) 487-1711
SIVARAM RAJAN MD
Orthopaedic Surgery
211 ESSEX ST
HACKENSACK, NJ 07601
Bergen County (551) 999-6433

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 Ruchi Sethi's NPI number?

The NPI number for Ruchi Sethi is 1699726323. It was assigned to this individual provider in the NPPES registry on May 15, 2006. The provider is also known as Ruchi Shah M.D..

Where is Ruchi Sethi located?

Ruchi Sethi practices at 211 Essex St Suite 306, Hackensack, NJ 07601. The listed phone number is (201) 343-2050.

What is Ruchi Sethi's specialty?

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

Is Ruchi Sethi enrolled in Medicare?

Yes. Ruchi 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 Ruchi Sethi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ruchi 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 Ruchi Sethi affiliated with any hospitals?

According to CMS data, Ruchi Sethi is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Ruchi Sethi was last updated on January 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.