DR. PRATHIBA VERMANI-SETHI M.D.
NPI 1942636626
Family Medicine in Hamilton, NJ

Q: What is Prathiba Vermani-sethi's NPI number?

The NPI number for Prathiba Vermani-sethi is 1942636626. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Q: What is Prathiba Vermani-sethi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 25, 2013PECOS EnrolledAccepts Medicare Assignment

813 GRAND CENTRAL DRIVE, HAMILTON, NJ 08619(720) 239-3724 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2023, Sep 21, 2021, Aug 5, 2019 (3 updates tracked since 2019).

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About Dr. Prathiba Vermani-sethi M.d. NPPES

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

DR. PRATHIBA VERMANI-SETHI M.D. (NPI 1942636626) is an individual family medicine provider in Hamilton, New Jersey, licensed in New Jersey (193400000X) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942636626

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PRATHIBA VERMANI-SETHICredential: M.D.

Location Address813 GRAND CENTRAL DRIVEHamilton, NJ 08619

Mailing Address1 Capital WayPennington, NJ 08534-2520 · (609) 303-4010

Phone(720) 239-3724

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateSeptember 25, 2013

Last NPPES UpdateJuly 19, 20233 updates tracked since enumeration

NPPES CertifiedJuly 19, 2023

✔ NPI 1942636626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 193400000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 25MA09769600 (NJ)

813 GRAND CENTRAL DRIVE, Hamilton, NJ 08619

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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 and accepts Medicare assignment

Dr. Prathiba Vermani-sethi 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 ID143448431

PECOS Enrollment IDI20151118000224

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

131 services129 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

73 services71 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

58 services54 patients

Hospital Affiliations CMS Care Compare 2

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310044

LocationOne Capital WayPennington, NJ 08534 · Mercer County

Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310092

Location750 Brunswick AveTrenton, NJ 08638 · Mercer County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08619 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

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 Prathiba Vermani-sethi's NPI number?

The NPI number for Prathiba Vermani-sethi is 1942636626. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is Prathiba Vermani-sethi located?

Prathiba Vermani-sethi practices at 813 Grand Central Drive, Hamilton, NJ 08619. The listed phone number is (720) 239-3724.

What is Prathiba Vermani-sethi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prathiba Vermani-sethi enrolled in Medicare?

Yes. Prathiba Vermani-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.

Is Prathiba Vermani-sethi affiliated with any hospitals?

According to CMS data, Prathiba Vermani-sethi is affiliated with Capital Health Medical Center - Hopewell and Capital Health Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Prathiba Vermani-sethi was last updated on July 19, 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.