Individual provider Active NPI

Sheetal Kasi Sethupathi, MD

  • Dermatology Physician
  • Columbia, MD
National Provider Identifier
1699342519
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0103312 Issued in MD
Practice address
6230 Old Dobbin LN Ste 140
Columbia, MD 21045-5809
Phone
(410) 252-9090
Fax
(410) 494-7064
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0103312 MD Primary
Internal Medicine Physician 207R00000X 2021020616 MO

Addresses

Primary practice location

6230 Old Dobbin LN Ste 140
Columbia, MD 21045-5809

Mailing address

1447 York Rd Ste 301
Lutherville, MD 21093-6022
Phone (410) 252-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250530002306 MD Practitioner - Internal Medicine 8224419379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saint Louis University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Care Specialty Physicians LLCGroup PAC ID 6608978622, 17 clinicians

Practice addresses (Care Compare)

1447 York Rd
Suite 301
Lutherville, MD 21093-6022
Phone (410) 252-9090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions85
Skin biopsy68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021020616MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Specialty Physicians, LLC Dermatology CurrentSince Jul 2, 2025 Accepting new patients
Mohs and Skin Surgery Center, LLC PastSince Sep 21, 2025 Accepting new patients

Locations

6230 Old Dobbin Ln
Ste 140
Columbia, MD 21045
Phone (410) 252-9090

1447 York Rd
Ste 301
Lutherville Timonium, MD 21093
Phone (410) 252-9090

Interoperability endpoints

  • Direct secure messaging: ssethupathi@directaddress.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1699342519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 YORK RD STE 301",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936022",
            "telephone_number": "410-252-9090",
            "fax_number": "410-494-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 OLD DOBBIN LN STE 140",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455809",
            "telephone_number": "410-252-9090",
            "fax_number": "410-494-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHUPATHI",
        "first_name": "SHEETAL",
        "middle_name": "KASI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0103312",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2021020616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.