Active NPI
Baljeet S Sethi, M.D.
- Neurology Physician
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D25517
- Practice address
- 11350 Pembrooke SQ
Suite 312
Waldorf, MD 20603-4809 - Phone
- (301) 843-0803
- Fax
- (301) 645-1201
- NPI assigned
- Jul 11, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | D25517 | MD | Primary |
Addresses
Primary practice location
11350 Pembrooke SQ
Suite 312
Waldorf, MD 20603-4809
Mailing address
11350 Pembrooke SQ
Suite 312
Waldorf, MD 20603-4809
Phone (301) 843-0803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone (325) 747-1511
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D25517 | MD | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Piedmont Providers LLC | Current | Accepting new patients | |
| Shannon Clinic | Family Medicine | Current | Accepting new patients |
| Northern Arizona Healthcare Corporation | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
340 S Willard St
Cottonwood, AZ 86326
Phone (928) 634-5551
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
1301 Sigman Rd NE
Ste 150
Conyers, GA 30012
Phone (678) 413-6276
120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511
102 N Magdalen St
San Angelo, TX 76903
Phone (325) 481-2025
Organizations & group practices 6
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.
-
- Family Medicine Physician
- San Angelo, TX
- NPI 1770587149
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Neurology Physician
- Waldorf, MD
- NPI 1235231325
-
dba Northern Arizona Healthcare Children's Health Center
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Angelo, TX
- NPI 1992707228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316972482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11350 PEMBROOKE SQ",
"address_2": "SUITE 312",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034809",
"telephone_number": "301-843-0803",
"fax_number": "301-645-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11350 PEMBROOKE SQ",
"address_2": "SUITE 312",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034809",
"telephone_number": "301-843-0803",
"fax_number": "301-645-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETHI",
"first_name": "BALJEET",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D25517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.