Doctor profile · Federal record

Dr. Prathiba Vermani-Sethi, M.D.

Family Medicine Physician (CMS: Emergency Medicine) · Emergency Medicine Physician · Hamilton, NJ

  • NPI 1942636626
  • Accepts Medicare
  • 16 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
813 Grand Central Drive
Hamilton, NJ 08619
(720) 239-3724
Mailing address
1 Capital Way
Pennington, NJ 085342520

Credentials & registration

NPPES · NUCC
NPI registered
September 2013 — 13 yrs on file
Profile last updated
July 19, 2023
Year of graduation
2010 — 16 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State licenses (2)
New Jersey #193400000X · New Jersey #25MA09769600

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1942636626. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
244
Distinct HCPCS
3
Medicare allowed
$34,399
HCPCS Description Services Patients Avg allowed
99285 Emergency department visit with high level of medical decision making 108 107 $181
99284 Emergency department visit with moderate level of medical decision making 93 92 $125
99283 Emergency department visit with low level of medical decision making 43 39 $75

In context: peer comparison

Among 12 peers in this city , average services per provider: 65. This provider delivers 3.8× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
13
Patients
12
Total drug cost
$363
Drug Type Claims Patients Total cost
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 13 12 $363

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Prathiba Vermani-Sethi's medical specialty?
Dr. Prathiba Vermani-Sethi practices Family Medicine Physician in Hamilton, NJ.
Where does Dr. Prathiba Vermani-Sethi practice?
Dr. Prathiba Vermani-Sethi practices at 813 Grand Central Drive, Hamilton, NJ 08619. Office phone: 7202393724.
What is Dr. Prathiba Vermani-Sethi's NPI?
Dr. Prathiba Vermani-Sethi's National Provider Identifier (NPI) is 1942636626, issued by NPPES.
Does Dr. Prathiba Vermani-Sethi accept Medicare assignment?
Yes. Dr. Prathiba Vermani-Sethi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Prathiba Vermani-Sethi commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with low level of medical decision making (HCPCS 99283). Source: CMS Medicare Physician & Other Practitioners file.