Active NPI
Pawan S Sethi, M.D.
- Pain Medicine (Anesthesiology) Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 2021021858
- Practice address
- 12700 Southfork Rd Ste 153
Saint Louis, MO 63128-3201 - Phone
- (314) 543-5283
- Fax
- (314) 543-5233
- NPI assigned
- Mar 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 6465420 | WI | |
| Anesthesiology Physician | 207L00000X | 2021021858 | MO | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 6465420 | WI | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 01082023A | IN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2021021858 | MO | Primary |
Addresses
Primary practice location
12700 Southfork Rd Ste 153
Saint Louis, MO 63128-3201
Mailing address
12700 Southfork Rd Ste 153
Saint Louis, MO 63128-3201
Phone (314) 543-5283
Other practice location 1
901 E 5th St
Washington, MO 63090-3127
Phone (636) 386-9224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300026326 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12700 Southfork Rd
Suite 153
Saint Louis, MO 63128-3201
Phone (314) 543-5283
Hospital & facility affiliations
- Mercy Hospital South
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01082023A | IN | MD | Pain Medicine (Anesthesiology) Physician |
| 2021021858 | MO | MD | Pain Medicine (Anesthesiology) Physician |
| 6465420 | WI | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Pain Management, LLC | Pain Medicine | Current | Accepting new patients |
| Johnson Memorial Hospital | Current | Accepting new patients | |
| Johnson Memorial Hospital | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Past | Accepting new patients |
Locations
1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858
15945 Clayton Rd
Ste 220CLAY
Ballwin, MO 63011
Phone (636) 239-8097
12700 Southfork Rd
Ste 153
Saint Louis, MO 63128
Phone (314) 543-5283
851 E 5th St
Ste 208
Washington, MO 63090
Phone (636) 239-7500
851 E 5th St
Ste 226
Washington, MO 63090
Phone (636) 239-8097
Networks
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IL PPO Downstate
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- IA HMO
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- IA HMO C-SNP
Interoperability endpoints
- psethi1152450@directc.mercy.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Washington, MO
- NPI 1942636980
-
- General Acute Care Hospital
- Franklin, IN
- NPI 1346248986
-
- Skilled Nursing Facility
- Franklin, IN
- NPI 1053301259
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1003233123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12700 SOUTHFORK RD STE 153",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283201",
"telephone_number": "314-543-5283",
"fax_number": "314-543-5233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 SOUTHFORK RD STE 153",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283201",
"telephone_number": "314-543-5283",
"fax_number": "314-543-5233"
}
],
"practiceLocations": [
{
"address_1": "901 E 5th St",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "MO",
"postal_code": "630903127",
"country_code": "US",
"telephone_number": "636-386-9224",
"fax_number": "636-386-7679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SETHI",
"first_name": "PAWAN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-26",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "6465420",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2021021858",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "WI",
"license": "6465420",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IN",
"license": "01082023A",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MO",
"license": "2021021858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300026326",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.