Individual provider Active NPI

Amarjeet Sethi, MD

  • Pulmonary Disease Physician
  • Waterford, MI
National Provider Identifier
1467415034
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
048890 Issued in MI
Practice address
5220 Highland Rd Ste 240
Waterford, MI 48327-1973
Phone
(248) 237-6580
Fax
(248) 237-6569
NPI assigned
Apr 6, 2006
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 048890 MI Primary

Addresses

Primary practice location

5220 Highland Rd Ste 240
Waterford, MI 48327-1973

Mailing address

5220 Highland Rd Ste 240
Waterford, MI 48327-1973
Phone (248) 237-8065

Other practice location 1

4000 Highland Rd
Ste 130
Waterford, MI 48328-2167
Phone (248) 681-7909

Other identifiers 3

IdentifierTypeStateIssuer
290002632OtherMIRR MC
2571223MedicaidMI
06317431OtherMIBS

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL FENTON
CONNECT URL Waterford

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110201000446 MI Practitioner - Pulmonary Disease 7315972569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Amarjeet Sethi, MD PLCGroup PAC ID 6103114947, 2 clinicians

Practice addresses (Care Compare)

5220 Highland Rd
Suite 240
Waterford, MI 48327-1973
Phone (248) 237-6569

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048890MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amarjeet Sethi MD PLC Pulmonary Disease CurrentSince Aug 24, 2016 Accepting new patients

Locations

4000 Highland Rd
Ste 130
Waterford, MI 48328
Phone (248) 681-7909

5220 Highland Rd
Ste 240
Waterford, MI 48327
Phone (248) 237-6569

Interoperability endpoints

  • Direct secure messaging: asethi@direct.dmc.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1467415034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 HIGHLAND RD STE 240",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271973",
            "telephone_number": "248-237-8065",
            "fax_number": "248-237-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 HIGHLAND RD STE 240",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271973",
            "telephone_number": "248-237-6580",
            "fax_number": "248-237-6569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Highland Rd",
            "address_2": "Ste 130",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483282167",
            "country_code": "US",
            "telephone_number": "248-681-7909",
            "fax_number": "248-681-5814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETHI",
        "first_name": "AMARJEET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "048890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "290002632",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2571223",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "06317431",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FENTON",
            "affiliation": "N",
            "address_1": "4190 Pavilion Ct",
            "city": "Fenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484309168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Waterford",
            "affiliation": "N",
            "address_1": "5220 Highland Rd Ste 240",
            "city": "Waterford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483271973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.