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DR. RISHI SETH M.D.
NPI 1962790832
Internal Medicine in Tampa, FL

Active since July 13, 2011PECOS Enrolled
82.99/100
CMS Quality Rating
3321 W BEARSS AVE, TAMPA, FL 33618(954) 873-5541 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2024, Jan 26, 2022, Nov 9, 2021 (3 updates tracked since 2021).

About Dr. Rishi Seth M.d. NPPES

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

DR. RISHI SETH M.D. (NPI 1962790832) is an individual internal medicine provider in Tampa, Florida, licensed in Florida (ME166199) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Jackson County Regional Health Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962790832
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RISHI SETHCredential: M.D.
Location Address3321 W BEARSS AVETampa, FL 33618-2100
Mailing Address3321 W Bearss AveTampa, FL 33618-2100 · (954) 873-5541
Phone(954) 873-5541
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 13, 2011
Last NPPES UpdateMay 28, 20243 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1962790832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME166199
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 13392 (ND)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3321 W BEARSS AVE, Tampa, FL 33618
Open in Google Maps ↗

Other Identifiers 1

Medicaid81284ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of North Dakota, Medica and more.Insurance ›

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. Rishi Seth M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840411658
PECOS Enrollment IDI20141020002830, I20240206004736, I20240216002329, I20240606000029
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 7

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
111 services111 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.
44 services21 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.
33 services15 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.
28 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Jackson County Regional Health Center

Critical Access Hospitals · Maquoketa, IA
OwnershipGovernment - Local
CMS Certification Number161329
Location700 W Grove StMaquoketa, IA 52060 · Jackson County
Emergency services

Floyd County Medical Center

Critical Access Hospitals · Charles City, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161347
Location800 11th StCharles City, IA 50616 · Floyd County
Emergency services Birthing friendly

Riverwood Healthcare Center

Critical Access Hospitals · Aitkin, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241305
Location200 Bunker Hill DriveAitkin, MN 56431 · Aitkin County
Emergency services

North Shore Health

Critical Access Hospitals · Grand Marais, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241317
Location515 5th Ave WestGrand Marais, MN 55604 · Cook County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33618 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers47 claims47 services$101.83 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$35.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RICHARD DILLON MD
Obstetrics & Gynecology (Obstetrics)
3321 W BEARSS AVE
TAMPA, FL 33618
Hillsborough County (813) 972-9300
SETH MEDICAL CLINIC LLC
Internal Medicine
3321 W BEARSS AVE
TAMPA, FL 33618
Hillsborough County (954) 873-5541

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 Rishi Seth's NPI number?

The NPI number for Rishi Seth is 1962790832. It was assigned to this individual provider in the NPPES registry on July 13, 2011.

Where is Rishi Seth located?

Rishi Seth practices at 3321 W Bearss Ave, Tampa, FL 33618. The listed phone number is (954) 873-5541.

What is Rishi Seth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rishi Seth enrolled in Medicare?

Yes. Rishi Seth is registered in the Medicare PECOS enrollment system.

What insurance does Rishi Seth accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Rishi Seth 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 Rishi Seth affiliated with any hospitals?

According to CMS data, Rishi Seth is affiliated with Jackson County Regional Health Center, Floyd County Medical Center, Riverwood Healthcare Center, North Shore Health and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Rishi Seth was last updated on May 28, 2024. 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.