VENKATA RAKESH SETHAPATI MD
NPI 1871013862
Pathology - Hematology in Little Rock, AR

Active since June 21, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4301 W MARKHAM ST # 503, LITTLE ROCK, AR 72205(501) 686-5866(501) 686-7155 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2023, Jun 21, 2017 (2 updates tracked since 2017).

About Venkata Rakesh Sethapati Md NPPES

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

VENKATA RAKESH SETHAPATI MD (NPI 1871013862) is an individual hematology provider in Little Rock, Arkansas, licensed in Arkansas (E-16748) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kansas City, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1871013862
Entity TypeIndividualMale
Primary Taxonomy207ZH0000X
Provider Legal NameVENKATA RAKESH SETHAPATICredential: MD
Location Address4301 W MARKHAM ST # 503Little Rock, AR 72205-7101
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Fax(501) 686-7155
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 21, 2017
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
NPI 1871013862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZH0000X
License Licensed in AR · E-16748
Definition
A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License E-16748 (AR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 94-09254 (KS)
4301 W MARKHAM ST # 503, Little Rock, AR 72205

Other Names 1

Other Name (5)Venkata R Sethapati

Secondary Practice Location 1

Location 1University Of Kansas Medical Center 3901 BlvdKansas City, KS 66160-0001 · Phone (913) 588-7076

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

Venkata Rakesh Sethapati 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 ID1355613415
PECOS Enrollment IDI20231120002447
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 11

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.

Mechanical separation of plasma from blood 36514
Mechanical separation of plasma from blood is a procedure where your blood is drawn and placed in a machine. This machine spins the blood at high speeds, separating the plasma (a yellowish fluid) from the rest of the blood components. The plasma is then collected for medical purposes.
73 services18 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
73 services12 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
66 services55 patients
Flow cytometry technique for dna or cell analysis, 2 to 8 markers 88187
Flow cytometry is a technique that helps analyze your cells and DNA. It uses lasers to identify and sort cells based on their properties, marked by up to 8 different markers. This helps in diagnosing and monitoring various health conditions.
61 services57 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
58 services56 patients
Blood bank physician services for cross match and/or evaluation and written report 86077
Blood bank physician services for cross match involve testing your blood against donor blood to ensure compatibility before a transfusion. The evaluation includes a detailed analysis of your blood type and antibodies. A written report will be provided, summarizing the findings.
57 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.86
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Pathology (Anatomic Pathology & Clinical Pathology)
4301 W MARKHAM ST # 503
LITTLE ROCK, AR 72205

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 Venkata Rakesh Sethapati's NPI number?

The NPI number for Venkata Rakesh Sethapati is 1871013862. It was assigned to this individual provider in the NPPES registry on June 21, 2017. The provider is also known as Venkata R Sethapati.

Where is Venkata Rakesh Sethapati located?

Venkata Rakesh Sethapati practices at 4301 W Markham St # 503, Little Rock, AR 72205. The listed phone number is (501) 686-5866.

What is Venkata Rakesh Sethapati's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Hematology, with taxonomy code 207ZH0000X.

Is Venkata Rakesh Sethapati enrolled in Medicare?

Yes. Venkata Rakesh Sethapati 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 Venkata Rakesh Sethapati accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Venkata Rakesh Sethapati 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 Venkata Rakesh Sethapati was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.