DR. ANITA B SETHNA M.D.
NPI 1801072459
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Atlanta, GA

Active since January 14, 2008PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
3200 DOWNWOOD CIR NW STE 640, ATLANTA, GA 30327(404) 778-6880 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anita B Sethna M.d. NPPES

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

DR. ANITA B SETHNA M.D. (NPI 1801072459) is an individual otolaryngology/facial plastic surgery provider in Atlanta, Georgia, licensed in Georgia (64268) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2004).

NPPES Registry Identity

NPI1801072459
Entity TypeIndividualFemale
Primary Taxonomy207YX0905X
Provider Legal NameDR. ANITA B SETHNACredential: M.D.
Location Address3200 DOWNWOOD CIR NW STE 640Atlanta, GA 30327-1624
Mailing Address3200 Downwood Cir Nw Ste 640Atlanta, GA 30327-1624 · (404) 778-6880
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2004
Enumeration DateJanuary 14, 2008
Last NPPES UpdateAugust 5, 2021
NPPES CertifiedAugust 5, 2021
NPI 1801072459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License Licensed in GA · 64268
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 0101245014 (VA), 000697 (GA)
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License 64268 (GA)
3200 DOWNWOOD CIR NW STE 640, Atlanta, GA 30327

Accepted 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. Anita B Sethna 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 ID5698828440
PECOS Enrollment IDI20101103001233
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

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
3200 DOWNWOOD CIR NW STE 640
ATLANTA, GA 30327
Specialist
3200 DOWNWOOD CIR NW STE 640
ATLANTA, GA 30327
Student in an Organized Health Care Education/Training Program
3200 DOWNWOOD CIR NW STE 640
ATLANTA, GA 30327
Plastic Surgery
3200 DOWNWOOD CIR NW STE 640
ATLANTA, GA 30327
Plastic Surgery
3200 DOWNWOOD CIR NW STE 640
ATLANTA, GA 30327
Student in an Organized Health Care Education/Training Program
3200 DOWNWOOD CIR NW STE 640
ATLANTA, GA 30327

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 Anita Sethna's NPI number?

The NPI number for Anita Sethna is 1801072459. It was assigned to this individual provider in the NPPES registry on January 14, 2008.

Where is Anita Sethna located?

Anita Sethna practices at 3200 Downwood Cir NW Ste 640, Atlanta, GA 30327. The listed phone number is (404) 778-6880.

What is Anita Sethna's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Anita Sethna enrolled in Medicare?

Yes. Anita Sethna 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 Anita Sethna accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Anita Sethna 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 Anita Sethna was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.