Dr. Michael Arun Sethi , MD
Pediatrics โข Chicago, IL
3860 W Ogden Ave
Chicago, IL 606232460
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on April 18, 2013; this date does not establish years in practice.
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Published CMS data list 60 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 0012A โ Adm sarscov2 100mcg/0.5ml2nd: 45 service units.
- 0011A โ Adm sarscov2 100mcg/0.5ml1st: 15 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
Practice Location & Contact Primary Location
3860 W Ogden Ave
Chicago, IL 606232460
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Portland, OR. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $1,591 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021.
Paid by Medicare
About $1,591 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021.
Open Payments general payments, program year 2022
All general payments: $32.32 across 2 records.
By nature of payment
- Food and Beverage: $32.32 across 2 records.
Reporting-company totals
- GlaxoSmithKline, LLC.: $32.32 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2022 (published June 30, 2026).
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Sethi has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Sethi as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Chicago and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Sethi are from 2021.
1,143 active clinicians are listed under Pediatrics with a practice address in Chicago, IL (3,178 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Chicago
0.3% of these 1,143 clinicians have the CMS telehealth indicator.
4.6% of these 1,143 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
CMS data for Medicare Part B services are available for 2021 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2021 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2021 only.
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $11.09 in 2021 to $32.32 in 2022.
- 2021: $11.09
- 2022: $32.32
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2022 (payments made January 1 โ December 31, 2022): fewer than 11 records totaling $32.32.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
BEXSERO | General | $19.08 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
BEXSERO | General | $13.24 |
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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0012A
Adm sarscov2 100mcg/0.5ml2nd
|
45 | 45 | $30.53 | $29.15 |
|
0011A
Adm sarscov2 100mcg/0.5ml1st
|
15 | 15 | $18.62 | $18.61 |
Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PEDIATRIC MEDICINE
I20161025000552
IL
0345481842
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
3181 Sw Sam Jackson Park Road, Ohsu
Portland, OR 97239
Phone: 5034948211
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Medical
Physician Assistant
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Student in an Organized Health Care Education/Training Program
NPI status registered as active in NPPES database
Registered at 3860 W OGDEN AVE, CHICAGO, IL 606232460 (Tel: (872) 588-3000)
Registered at 3860 W OGDEN AVE, CHICAGO, IL 606232460 (Tel: (872) 588-3000)
Recorded as MICHAEL SETHI, MD
Student in an Organized Health Care Education/Training Program
Pediatrics (license number reported to NPPES: IL 036141649)
Registered at 3860 W OGDEN AVE, CHICAGO, IL 606232460 (Tel: 8725883000)
Pediatrics (license number reported to NPPES: IL 036141649)
NPI status registered as active in NPPES database
Registered at 3181 SW SAM JACKSON PARK ROAD, OHSU, PORTLAND, OR 97239 (Tel: 5034948211)
Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011
Recorded as MICHAEL SETHI, MD
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Pediatrics Specialists in Chicago
- Dr. Kaela Yates, MD
- Dr. Helen Tcheng, MD
- Dr. Amy Paller, MD
- John Van Aalst
- Dr. Rebecca Garcia Sosa, MD
- Dr. John James Parker, MD
Mailing Address
3860 W Ogden Ave
Chicago, IL 606232460
Phone: 8725883000