DR. SUNJAY SETHI MD
NPI 1932561099
Psychiatry & Neurology - Neuromuscular Medicine in Milford, MA

Q: What is Sunjay Sethi's NPI number?

The NPI number for Sunjay Sethi is 1932561099. It was assigned to this individual provider in the NPPES registry on March 27, 2016.

Q: What is Sunjay Sethi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neuromuscular Medicine, with taxonomy code 2084N0008X.

Q: When was this NPI record last updated?

The NPPES record for Sunjay Sethi was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 27, 2016PECOS EnrolledAccepts Medicare Assignment

14 PROSPECT ST, MILFORD, MA 01757(508) 381-5016(508) 381-5035 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2022, Jun 27, 2017, Oct 25, 2016 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Sunjay Sethi Md NPPES

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

DR. SUNJAY SETHI MD (NPI 1932561099) is an individual neuromuscular medicine provider in Milford, Massachusetts, licensed in Massachusetts (282406) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Milford Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932561099

Entity TypeIndividualMale

Primary Taxonomy2084N0008X

Provider Legal NameDR. SUNJAY SETHICredential: MD

Location Address14 PROSPECT STMilford, MA 01757-3003

Mailing Address9 Industrial Rd Ste 5Milford, MA 01757-3736 · (508) 473-1480

Phone(508) 381-5016

Fax(508) 381-5035

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 2016

Enumeration DateMarch 27, 2016

Last NPPES UpdateAugust 4, 20235 updates tracked since enumeration

NPPES CertifiedAugust 4, 2023

✔ NPI 1932561099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neuromuscular MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084N0008X

License✔ Licensed in MA · 282406

Definition

A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 282406 (MA)

14 PROSPECT ST, Milford, MA 01757

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Secondary Practice Locations 2

Location 160 Fenwood Rd Fl 4Boston, MA 02115-6128 · Phone (617) 732-7432

Location 255 Fogg Rd # 150South Weymouth, MA 02190-2432 · Phone (781) 624-8197

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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. Sunjay 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 ID5193078996

PECOS Enrollment IDI20211103001102

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

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

Milford Regional Physician Group, Inc.

0.3 mi

Cardiovascular Disease

308 MAIN ST
Milford, MA 01757

Reassigned Medicare billing, Massachusetts enrollment
238 clinicians in this Medicare group

NPI 1285031039 (508) 731-2560

Umass Memorial Medical Group Inc

15 mi

Internal Medicine

55 LAKE AVE N
Worcester, MA 01655

Reassigned Medicare billing, Massachusetts enrollment
2,902 clinicians in this Medicare group

NPI 1760445373 (508) 334-1000

Brigham & Womens Physicians Organization Inc

26 mi

Internal Medicine

75 FRANCIS ST
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
4,574 clinicians in this Medicare group

NPI 1033535497 (617) 732-5500

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

Areas of Expertise CMS Part B claims 17

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

99 services73 patients

Needle measurement of electrical activity in arm or leg muscles, limited study 95885

This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.

71 services49 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

68 services67 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

51 services42 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

50 services50 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

41 services33 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

38 services37 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

38 services34 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

32 services31 patients

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.

24 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

18 services14 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

17 services17 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Nerve conduction, 7-8 studies 95910

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.

16 services16 patients

Nerve conduction, 5-6 studies 95909

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

15 services15 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Nerve conduction, 13 or more studies 95913

Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220090

Location14 Prospect StreetMilford, MA 01757 · Worcester County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

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.

DR. SETH WAKEFIELD MD

Internal Medicine

14 PROSPECT ST
MILFORD, MA 01757

Worcester County (508) 473-1190

SONIA MCCARTHY RD, LDN

Dietitian, Registered (Nutrition, Obesity and Weight Management)

14 PROSPECT ST
MILFORD, MA 01757

Worcester County (508) 473-1190

MONA S KADDIS M.D.

Internal Medicine (Hematology & Oncology)

14 PROSPECT ST, 2ND FLOOR
MILFORD, MA 01757

Worcester County (508) 478-2061

VERA HERNANDEZ-HOLMES PA-C, RD

Physician Assistant (Medical)

14 PROSPECT ST
MILFORD, MA 01757

Worcester County (508) 473-1190

MR. MONZOLESSO JOEL BAGAH-KOGNAGBA MD

Internal Medicine

14 PROSPECT ST
MILFORD, MA 01757

Worcester County (508) 473-1190

ADALIA JUN-O'CONNELL M.D.

Psychiatry & Neurology (Vascular Neurology)

14 PROSPECT ST
MILFORD, MA 01757

Worcester County (508) 381-5016

MAURA JEAN EATON PT, DPT

Physical Therapist

14 PROSPECT ST
MILFORD, MA 01757

Worcester County (508) 442-2552

MILFORD IMAGING, INC.

Specialist

14 PROSPECT ST, DEPARTMENT OF RADIOLOGY
MILFORD, MA 01757

Worcester County (508) 422-2922

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 Sunjay Sethi's NPI number?

The NPI number for Sunjay Sethi is 1932561099. It was assigned to this individual provider in the NPPES registry on March 27, 2016.

Where is Sunjay Sethi located?

Sunjay Sethi practices at 14 Prospect St, Milford, MA 01757. The listed phone number is (508) 381-5016.

What is Sunjay Sethi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neuromuscular Medicine, with taxonomy code 2084N0008X.

Is Sunjay Sethi enrolled in Medicare?

Yes. Sunjay 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 organizations bill Medicare for Sunjay Sethi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunjay Sethi reassigns Medicare benefits to 3 organizations: Milford Regional Physician Group, Inc. (Milford, MA), Umass Memorial Medical Group Inc (Worcester, MA) and Brigham & Womens Physicians Organization Inc (Boston, MA). 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 Sunjay Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunjay Sethi accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Sunjay 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.

Is Sunjay Sethi affiliated with any hospitals?

According to CMS data, Sunjay Sethi is affiliated with Milford Regional Medical Center, Brigham And Women's Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Sunjay Sethi was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.