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RISHABH SETHIA MD
NPI 1790275873
Otolaryngology - Pediatric Otolaryngology in Columbus, OH

Active since May 15, 2018PECOS EnrolledAccepts Medicare Assignment
555 S 18TH ST, COLUMBUS, OH 43205(614) 722-2000 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 3, 2024, Nov 19, 2024, Oct 10, 2024 and 2 more (5 updates tracked since 2018).

About Rishabh Sethia Md NPPES

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

RISHABH SETHIA MD (NPI 1790275873) is an individual pediatric otolaryngology provider in Columbus, Ohio, licensed in Ohio (35.150748) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains 12 additional practice locations, and is a graduate of Ohio State University College Of Medicine (2018).

NPPES Registry Identity

NPI1790275873
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameRISHABH SETHIACredential: MD
Location Address555 S 18TH STColumbus, OH 43205-2654
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2000 · Fax (614) 722-6609
Phone(614) 722-2000
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2018
Enumeration DateMay 15, 2018
Last NPPES UpdateDecember 3, 20245 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1790275873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in OH · 35.150748
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 35.150748 (OH)
555 S 18TH ST, Columbus, OH 43205
Open in Google Maps ↗

Secondary Practice Locations 12

Location 1100 Colemans Crossing BlvdMarysville, OH 43040-7080 · Phone (614) 722-2000
Location 2150 W Main StNew Albany, OH 43054-9229 · Phone (614) 722-2000
Location 3405 Butterfly Gardens DrColumbus, OH 43215-3427 · Phone (614) 722-2000
Location 41644 N Limestone StSpringfield, OH 45503-2652 · Phone (614) 722-2000
Location 57853 Pacer DrDelaware, OH 43015-7571 · Phone (614) 722-2000
Location 6700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-2000
Location 72222 Cherry St Ste M800Toledo, OH 43608-2676 · Phone (419) 251-1020 · Fax (419) 251-1021
Location 8455 Executive Campus DrWesterville, OH 43082-8870 · Phone (614) 722-2000
Location 95665 Venture DrDublin, OH 43017-2159 · Phone (614) 722-2000
Location 10536 S Trimble RdMansfield, OH 44906-3418 · Phone (614) 722-2000
Location 112213 Cherry StToledo, OH 43608-2603 · Phone (419) 251-1020 · Fax (419) 251-1021
Location 1226 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2200

Other Identifiers 2

Medicaid0289157OH
OtherH0000042OH · Cgs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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

Rishabh Sethia 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 ID1951656701
PECOS Enrollment IDI20240917000066
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 Reassignments

3

Medicare enrollment records show Rishabh Sethia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Surgical Associates, Corporation
0.1 mi
Pediatric Surgery
700 CHILDREN'S DRIVE
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 211 clinicians in this Medicare group
NPI 1417905324 (614) 722-2000
Nationwide Children's Hospital
0.1 mi
Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
NPI 1851179873 (614) 722-2055
Northwest Pediatric Specialists, LLC
122 mi
Pediatrics
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 233 clinicians in this Medicare group
NPI 1033709100 (419) 251-3232

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

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.

LORIE D HAMIWKA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-4634
DR. ERIC STEVE MULL D.O
Pediatrics (Pediatric Pulmonology)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-2000
JOHN DONALD MAHAN MD
Pediatrics (Pediatric Nephrology)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-4362
ROBERT DAVID MURRAY MD
Pediatrics (Pediatric Gastroenterology)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-4089
BENEDICTA G ENRILE MD
Pediatrics (Neurodevelopmental Disabilities)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-2438
WILLIAM MATTHEW SMILEY DO
Pediatrics
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-4950
SARAH K. DRIESBACH FNP
Nurse Practitioner (Family)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-2000
KENDRA ELAINE BRUNNER APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-2000

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 Rishabh Sethia's NPI number?

The NPI number for Rishabh Sethia is 1790275873. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Where is Rishabh Sethia located?

Rishabh Sethia practices at 555 S 18th St, Columbus, OH 43205. The listed phone number is (614) 722-2000.

What is Rishabh Sethia's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Rishabh Sethia enrolled in Medicare?

Yes. Rishabh Sethia 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 organizations bill Medicare for Rishabh Sethia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rishabh Sethia reassigns Medicare benefits to 3 organizations: Children's Surgical Associates, Corporation (Columbus, OH), Nationwide Children's Hospital (Columbus, OH) and Northwest Pediatric Specialists, LLC (Toledo, OH). Each 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 Rishabh Sethia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rishabh Sethia accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and Oscar Health Insurance list Rishabh Sethia 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 Rishabh Sethia was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.