Doctor profile · Federal record

Dr. Vishal Sethi, M.D

Infectious Disease Physician (CMS: Internal Medicine) · Baltimore, MD

  • NPI 1225251440
  • MIPS 73.9 / 100 · 2023
  • 24 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1040 Park Ave Ste 200
Baltimore, MD 212015634
(443) 738-0300
fax (443) 738-0301
Mailing address
2140 Peachtree RD Nw Ste 232
Atlanta, GA 303091316

Credentials & registration

NPPES · NUCC
NPI registered
April 2007 — 19 yrs on file
Profile last updated
June 16, 2018
Year of graduation
2002 — 24 yrs since
Specialty taxonomy
207RI0200X — NUCC code
State license (1)
Maryland #D0070809
Medicaid
MD #132190100

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1225251440. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
828
Distinct HCPCS
4
Medicare allowed
$72,350
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 540 202 $83
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 163 154 $88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 77 77 $137
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 48 43 $52

In context: peer comparison

Among 52 peers in Baltimore Infectious Disease Physician, average services per provider: 74. This provider delivers 11× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$23
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Abbvie INC. 1 $22.67

By nature of payment

Food and Beverage
$23

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Vishal Sethi's medical specialty?
Dr. Vishal Sethi practices Infectious Disease Physician in Baltimore, MD.
Where does Dr. Vishal Sethi practice?
Dr. Vishal Sethi practices at 1040 Park Ave Ste 200, Baltimore, MD 212015634. Office phone: 4437380300.
What is Dr. Vishal Sethi's NPI?
Dr. Vishal Sethi's National Provider Identifier (NPI) is 1225251440, issued by NPPES.
Does Dr. Vishal Sethi accept Medicare assignment?
Dr. Vishal Sethi does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Vishal Sethi commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with straightforward or low level of medical decision making (HCPCS 99221); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.