1. Home
  2. Directory
  3. Alabama
  4. Birmingham
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOSHUA SETHI MD
NPI 1770228165
Internal Medicine - Cardiovascular Disease in Birmingham, AL

Active since May 01, 2022PECOS EnrolledAccepts Medicare Assignment
625 19TH ST S, BIRMINGHAM, AL 35233(205) 934-0352 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Joshua Sethi Md NPPES

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

DR. JOSHUA SETHI MD (NPI 1770228165) is an individual cardiovascular disease provider in Birmingham, Alabama, licensed in Alabama (54180) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Tulane University School Of Medicine (2022).

NPPES Registry Identity

NPI1770228165
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JOSHUA SETHICredential: MD
Location Address625 19TH ST SBirmingham, AL 35233-1900
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Phone(205) 934-0352
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 2022
Enumeration DateMay 1, 2022
Last NPPES UpdateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1770228165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in AL · 54180
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 ListedInternal MedicineTaxonomy 207R00000X · License R79419 (AZ)
625 19TH ST S, Birmingham, AL 35233
Open in Google Maps ↗

Secondary Practice Location 1

Location 11501 N Campbell AveTucson, AZ 85724-0001 · Phone (520) 626-2761 · Fax (520) 626-6020

Other Identifiers 1

OtherR79419AZ · Arizona Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joshua 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 ID6800301060
PECOS Enrollment IDI20250716000858
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.

Medicare Billing Reassignment

Medicare enrollment records show Joshua Sethi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner-University Medical Group
1,395 mi
Nutrition, Education
8290 S HOUGHTON RD STE 150
Tucson, AZ 85747
  • Reassigned Medicare billing, Arizona enrollment
  • 1,514 clinicians in this Medicare group
NPI 1508673682 (520) 874-3111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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.

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.

CYDNEY NICHOLE TERRYN MD
Psychiatry & Neurology (Psychiatry)
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-0727
TODD WILLIAM MUDD JR.
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-2490
DAVID W MERKLEY DO
Anesthesiology
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-4696
DR. SERDAR AKKOL MD, PHD
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-3756
MATTHEW GUILFORD LONG
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-6007
AMANDA MARINELLO
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-7104
BENJAMIN ROWLAND MD
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-0208
NICHOLAS DREW ROBERTSON
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-4048

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 Joshua Sethi's NPI number?

The NPI number for Joshua Sethi is 1770228165. It was assigned to this individual provider in the NPPES registry on May 1, 2022.

Where is Joshua Sethi located?

Joshua Sethi practices at 625 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-0352.

What is Joshua Sethi's specialty?

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

Is Joshua Sethi enrolled in Medicare?

Yes. Joshua 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.

Which organization bills Medicare for Joshua Sethi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Sethi reassigns Medicare benefits to Banner-University Medical Group (Tucson, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Sethi accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Joshua 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 Joshua Sethi was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.