Nilay Sethi, M.D., PH.D.
Student in an Organized Health Care Education/Training Program · San Francisco, CA
Nilay Sethi, M.D., PH.D. is a student in an organized health care education/training program with a practice address in San Francisco, California, and NPI 1164781290, issued on May 9, 2012. Check the license with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nilay Sethi
- Credential
- M.D., PH.D.
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice location
- 1545 Divisadero St, San Francisco, CA 94115
- Phone
- (415) 353-7900
- Enumerated
- May 9, 2012
- Record last updated
- May 9, 2012 (not updated in 14 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20171122002574); accepts Medicare assignment
- Medical or professional school
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2012
- Entity
- Type 1 · individual
8 nearest student in an organized health care education/training program records → All 40,652 in California → Look up another NPI →
Also registered at 1545 Divisadero St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jane Jih, MD, MPHInternal Medicine Physician1902068208
- Siddhartha Mitra, MD, PHDInternal Medicine Physician1235464306
- Sanford Newmark, M.D.Pediatric Adolescent Medicine Physician1184657082
Verify Nilay Sethi in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 86.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $10,510.24
6 payments; by number, the most common kind was travel and lodging; the largest payer was Mitsubishi Tanabe Pharma Corporation. The 13,278 providers of this specialty with any payment received $608.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Dana-Farber Cancer Institute, Inc.Boston, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nilay Sethi among 40,652 student in an organized health care education/training program records in California
Nilay Sethi, M.D., PH.D. is one of 40,652 student in an organized health care education/training program records with a practice address in California. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 5% of them.
- NPI issued2012 · 5% of these records are older, 93% newer
- In a Medicare fileYes · 16% of these records are
- In the CMS Doctors and Clinicians fileYes · 6% of these records are
- Graduated2012 · median 2017 among the 2,409 with a school on file
- Record last updated2012 · 26% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 390200000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3,035 student in an organized health care education/training program records list a practice address in San Francisco
They are 3,035 of the 38,143 NPPES records with a practice address in San Francisco, and 40,652 student in an organized health care education/training program records in California.
All 40,652 in California → Every provider in San Francisco → Student in an Organized Health Care Education/Training Program nationwide →
The 8 student in an organized health care education/training program records with the nearest ZIP codes
- Lisa Chui, M.D.San Francisco, CA 941151689992927
- Niloofar Fadaki, M.D.San Francisco, CA 941151922275783
- Choon Hwa Goh, M.D, MPHSan Francisco, CA 941151922238864
- Pristine Lee, M.DSan Francisco, CA 941151134328198
- Julia Macisaac, MDSan Francisco, CA 941151427238146
- Rebecca O'Neill, M.D.San Francisco, CA 941151356676886
- Erin PollardSan Francisco, CA 941151326271719
- Giuliette RechtSan Francisco, CA 941151861708455
Common questions
What is Nilay Sethi, M.D., PH.D.'s NPI number?
Nilay Sethi, M.D., PH.D.'s National Provider Identifier (NPI) is 1164781290, issued on May 9, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Nilay Sethi, M.D., PH.D. located?
The NPPES record lists a practice address at 1545 Divisadero St, San Francisco, CA, 94115. Phone: (415) 353-7900. Providers update this record themselves, so call before visiting.
How can I verify Nilay Sethi, M.D., PH.D.'s license?
Search the California board that licenses this profession; the NPPES record confirms identity only.
What is Nilay Sethi, M.D., PH.D.'s MIPS final score?
The 2023 MIPS final score is 86.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.