Individual provider Active NPI

Pradip Sethi, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Elgin, IL
National Provider Identifier
1013009653
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
036055338 Issued in IL
Practice address
40 North Airlite St
Suite 2
Elgin, IL 60123-4965
Phone
(847) 695-0985
Fax
(847) 695-4373
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 036055338 IL Primary

Addresses

Primary practice location

40 North Airlite St
Suite 2
Elgin, IL 60123-4965

Mailing address

40 North Airlite St
Suite 2
Elgin, IL 60123-4965
Phone (847) 695-0985

Other identifiers 2

IdentifierTypeStateIssuer
4901097OtherILBLUE CROSS BLUE SHIELD
P00319590OtherILMEDICARE RAILROAD CARRIER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address psethi287593@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000030 IL Practitioner - Neurology 5597732172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians
Advanced Neurology and Sleep Clinic LLCGroup PAC ID 0547407942, 2 clinicians

Practice addresses (Care Compare)

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

40 N Airlite St
Suite 4
Elgin, IL 60123-4965
Phone (847) 628-9977

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036055338ILMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeport Memorial Hospital CurrentSince Aug 23, 2016 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 15, 2001 Accepting new patients
Advanced Neurology & Sleep Clinic LLC CurrentSince Sep 1, 2016 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 15, 2001 Accepting new patients
Access Neurocare PC Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

40 N Airlite St
Ste 4
Elgin, IL 60123
Phone (847) 628-9977

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

421 W Exchange St
Freeport, IL 61032
Phone (815) 599-7300

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

Networks

  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IL HMO C-SNP
  • IL PPO Downstate

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1013009653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 NORTH AIRLITE ST",
            "address_2": "SUITE 2",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234965",
            "telephone_number": "847-695-0985",
            "fax_number": "847-695-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NORTH AIRLITE ST",
            "address_2": "SUITE 2",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234965",
            "telephone_number": "847-695-0985",
            "fax_number": "847-695-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHI",
        "first_name": "PRADIP",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "IL",
            "license": "036055338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4901097",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "P00319590",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psethi287593@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "40 North Airlite St",
            "address_2": "Suite 2",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "40 North Airlite St",
            "address_2": "Suite 2",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.