Individual provider Active NPI

Imran Ahmed Sethi, MD

  • Nephrology Physician
  • Shepherdsville, KY
National Provider Identifier
1093914301
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
44176 Issued in KY
Practice address
1903 W Hebron LN
Shepherdsville, KY 40165-7425
Phone
(502) 647-4154
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01080259A IN
Nephrology Physician 207RN0300X 01080259A IN
Nephrology Physician 207RN0300X 44176 KY Primary

Addresses

Primary practice location

1903 W Hebron LN
Shepherdsville, KY 40165-7425

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 647-4154

Other practice location 1

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 456-5847

Other practice location 2

720 Eskenazi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-7666

Other practice location 3

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6637

Other identifiers 1

IdentifierTypeStateIssuer
7100304120MedicaidKY

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address isethi64673@direct.eskenazihealth.edu
Direct Messaging Address isethi500282@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180615001865 IN Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Nephrology 0244313500 Reassigns benefits to 4 organizations
I20240726002907 KY Practitioner - Nephrology 0244313500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion General HospitalGroup PAC ID 9133023625, 115 clinicians

Practice addresses (Care Compare)

1903 W Hebron LN
Shepherdsville, KY 40165-7425
Phone (502) 852-5341

441 N Wabash Ave
Marion, IN 46952-2612
Phone (765) 660-6000

4781 Kaybee Dr
Gas City, IN 46933-6607
Phone (765) 660-7840

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Aug 1, 2024 Accepting new patients
University of Louisville Physicians, Inc Nephrology CurrentSince Aug 1, 2024 Accepting new patients
University Family Physicians, Inc. CurrentSince Apr 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University Family Physicians, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Marion General Hospital CurrentSince Sep 6, 2022 Accepting new patients
Indiana Clinic Critical Care LLC Critical Care Medicine CurrentSince Feb 1, 2022 Accepting new patients
Marion General Hospital CurrentSince Sep 6, 2022 Accepting new patients
University Medical Diagnostic Associates, Inc. Nephrology CurrentSince Apr 1, 2020 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

7216 Solutions Ctr
Chicago, IL 60677

7301 Solutions Ctr
Chicago, IL 60677

2574 Reliable Pkwy
Chicago, IL 60686

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1801 Senate Blvd
Ste 230
Indianapolis, IN 46202
Phone (317) 962-5280

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

1903 W Hebron Ln
Shepherdsvlle, KY 40165
Phone (502) 587-4421

Interoperability endpoints

  • Direct secure messaging: isethi500282@direct.parkviewexchange.com

Organizations & group practices 9

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1093914301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-647-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 W HEBRON LN",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657425",
            "telephone_number": "502-647-4154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1907 W Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "46901",
            "country_code": "US",
            "telephone_number": "765-456-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Eskenazi Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025166",
            "country_code": "US",
            "telephone_number": "317-880-7666",
            "fax_number": "317-880-0448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11109 Parkview Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451701",
            "country_code": "US",
            "telephone_number": "260-672-6637",
            "fax_number": "260-458-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETHI",
        "first_name": "IMRAN",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01080259A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01080259A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "44176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100304120",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isethi64673@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "720 Eskenazi Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isethi500282@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11109 Parkview Plaza Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11109 Parkview Plaza Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11109 Parkview Plaza Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

Verify at the official NPI Registry.