DR. SHERNA SHETH DDS, MD
NPI 1750793147
Otolaryngology in Albuquerque, NM

NPI Status: Active since May 20, 2014

Contact Information

1020 TIJERAS AVE NE STE 22
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 727-1670

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Otolaryngology
PECOS Enrolled

About SHERNA SHETH

This page provides the complete NPI Profile along with additional information for Sherna Sheth, a provider established in Albuquerque, New Mexico with a medical specialization in Otolaryngology. The healthcare provider is registered in the NPI registry with number 1750793147 assigned on May 2014. The practitioner's primary taxonomy code is 207Y00000X with license number MD2024-1148 (NM). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1750793147
Provider Name: DR. SHERNA SHETH DDS, MD
Gender: Female
Entity Type: Individual
Location Address: 1020 TIJERAS AVE NE STE 22 ALBUQUERQUE, NM 87106
Location Phone: (505) 727-1670
Mailing Address: MSC 10-5610 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE, NM 87131
Mailing Phone: (505) 272-6451
Mailing Fax
Is Sole Proprietor?: No
Enumeration Date: 05-20-2014
Last Update Date: 11-18-2024
Code Navigator

Location Map

Secondary Locations

11061 Hull Street Rd
Midlothian, VA 23112
(804) 955-8052
Msc 10-5610 1 University Of New Mexico
Albuquerque, NM 87131
(505) 272-6451

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: Otolaryngology
Taxonomy Code: 207Y00000X
Type: Allopathic & Osteopathic Physicians
License No.: MD2024-1148
License State: NM
Taxonomy Description: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	122300000X	Dental Providers	Dentist	0401414163 (VA)
2	390200000X	Student, Health Care	Student in an Organized Health Care Education/Training Program	(NM)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
MD2024-1148	OTHER (01)	NM	NEW MEXICO LICENSE
0401414163	OTHER (01)	VA	VIRGINIA BOARD OF DENTISTRY

Medicare Participation & PECOS Enrollment Status

Sherna Sheth 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

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 87106 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $126.21
Minimum New Patient Price $54.26
Maximum New Patient Price $166.8

Average New Patient Copayment $31.55
Minimum New Patient Copayment $13.56
Maximum New Patient Copayment $41.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $68
Minimum Established Patient Price $17
Maximum Established Patient Price $135.35

Average Established Patient Copayment $17
Minimum Established Patient Copayment $4.25
Maximum Established Patient Copayment $33.83

* 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.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	5	0	7	9	3	1	4	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	14	9	6	1	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 9 + 6 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7									7

The NPI number 1750793147 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 7 providers are registered at the same or nearby location.

ALLYSON MARIE RAY MD

Otolaryngology

(Plastic Surgery within the Head & Neck)