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DR. RAJIV K. SETHI M.D.
NPI 1720090608
Orthopaedic Surgery in San Francisco, CA

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143(415) 353-2739 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Rajiv K. Sethi M.d. NPPES

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

DR. RAJIV K. SETHI M.D. (NPI 1720090608) is an individual orthopaedic surgery provider in San Francisco, California, licensed in California (A95024) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kirkland, and is a graduate of Harvard Medical School (2001).

NPPES Registry Identity

NPI1720090608
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. RAJIV K. SETHICredential: M.D.
Location Address400 PARNASSUS AVESan Francisco, CA 94143-2202
Mailing Address12039 Ne 128th St Ste 500Kirkland, WA 98034-3029 · (425) 899-4930
Phone(415) 353-2739
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2001
Enumeration DateAugust 12, 2006
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1720090608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in CA · A95024✔ Licensed in WA · MD00048267
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License MD00048267 (WA)
400 PARNASSUS AVE, San Francisco, CA 94143
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Secondary Practice Location 1

Location 112039 NE 128th St Ste 500Kirkland, WA 98034-3029 · Phone (425) 899-4930

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence 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. Rajiv K. 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 ID3971507955
PECOS Enrollment IDI20080429000096
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.

Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
113 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
95 services67 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
44 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services27 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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. ALEJANDRA GABRIELA DE ALBA CAMPOMANES MD, MPH
Ophthalmology
400 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2560
DR. MARISSA A BOECK M.D.
Surgery (Surgical Critical Care)
400 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2161
DR. JACQUELINE EVA WEINSTEIN M.D.
Otolaryngology (Pediatric Otolaryngology)
400 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1000
TIFFANY PONG ROSS PA-C
Physician Assistant
400 PARNASSUS AVE, 3RD FLOOR, SUITE 311
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2739
SHINTARO TATEBE MSPT
Physical Therapist
400 PARNASSUS AVE, A-68
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-8574
DR. YVONNE W WU MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
400 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2813
DR. DAVID S. BRADFORD MD
Orthopaedic Surgery
400 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2739
DR. SANG-MO KANG MD
Surgery
400 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1551

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 Rajiv Sethi's NPI number?

The NPI number for Rajiv Sethi is 1720090608. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Rajiv Sethi located?

Rajiv Sethi practices at 400 Parnassus Ave, San Francisco, CA 94143. The listed phone number is (415) 353-2739.

What is Rajiv Sethi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Rajiv Sethi enrolled in Medicare?

Yes. Rajiv 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 Rajiv Sethi accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Rajiv 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.

When was this NPI record last updated?

The NPPES record for Rajiv Sethi was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.