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DR. SONIA SETHI MD, MBE
NPI 1821613084
Internal Medicine - Endocrinology, Diabetes & Metabolism in Plainview, NY

Active since June 13, 2020PECOS Enrolled
1600 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 394-0030 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2026, Mar 3, 2026, Sep 17, 2025 and 3 more (6 updates tracked since 2020).

About Dr. Sonia Sethi Md, Mbe NPPES

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

DR. SONIA SETHI MD, MBE (NPI 1821613084) is an individual endocrinology, diabetes & metabolism provider in Plainview, New York, licensed in New York (323335) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1821613084
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SONIA SETHICredential: MD, MBE
Location Address1600 OLD COUNTRY RDPlainview, NY 11803-5013
Mailing Address1600 Old Country RdPlainview, NY 11803-5013
Phone(516) 394-0030
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 13, 2020
Last NPPES UpdateMay 15, 20266 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1821613084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 323335
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 323335 (NY)
1600 OLD COUNTRY RD, Plainview, NY 11803
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sonia Sethi Md, Mbe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092133413
PECOS Enrollment IDI20260506000310
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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 2

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

CHARLOTTE ARONIN BIRNBAUM M.D.
Dermatology
1600 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 394-0030
JAISON JACOB JOHN DO
Internal Medicine (Cardiovascular Disease)
1600 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 433-3600

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 Sonia Sethi's NPI number?

The NPI number for Sonia Sethi is 1821613084. It was assigned to this individual provider in the NPPES registry on June 13, 2020.

Where is Sonia Sethi located?

Sonia Sethi practices at 1600 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 394-0030.

What is Sonia Sethi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sonia Sethi enrolled in Medicare?

Yes. Sonia Sethi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sonia Sethi was last updated on May 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.