Shefali Bhatt Seth, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209016725 Issued in IL

Practice address

1S072 Luther Ave
Lombard, IL 60148-4164

Phone

(630) 247-8877

Fax

(630) 576-0580

NPI assigned

Oct 6, 2017

Last updated

Jul 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

23.46 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

78.21

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Id Associates Limited

  • Infectious Disease Physician
  • Oak Brook, IL
  • NPI 1699201582
  Medicare reassignment NPD

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1265942023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 SPARTINA RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645033",
            "telephone_number": "224-402-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S072 LUTHER AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484164",
            "telephone_number": "630-247-8877",
            "fax_number": "630-576-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETH",
        "first_name": "SHEFALI",
        "middle_name": "BHATT",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. KIRAN DHILLON",
            "identifier": "1053383125",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Michael Sementa, D.D.S.
• Senior Home Sharing, Inc. (Senior Home Sharing)
• Serenity One Hospice and Palliative Care LLC
• Vanessa Serna
• Dante J Serrano
• Garvita Sethi, PT
• Jessica Seymore, DPT
• Shah-Ni-4 Inc. (Prime Careline Home Care Agency)
• Ami Shah, BS
• Rahul Shah, PHARMD

• Family Nurse Practitioner in Lombard, IL
• Providers in Lombard, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.