NPPES file of Aug 9, 2026

Pooja Ranbirchand Sethi, M.D

Internal Medicine Physician · Memphis, TN

Pooja Ranbirchand Sethi, M.D is an internal medicine physician with a practice address in Memphis, Tennessee, and NPI 1306104385, issued on Apr 27, 2012. Check the license (Tennessee 52736, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1306104385
Name
Pooja Ranbirchand Sethi
Credential
M.D
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
52736 TN
Self-reported in NPPES; status is on the state search
Practice location
880 Madison Ave, Memphis, TN 38103
Phone
(901) 545-6969
Enumerated
Apr 27, 2012
Record last updated
Jun 29, 2015 (not updated in 11 years: call before relying on the address or phone)
Fax
(901) 545-9748
Medicare enrollment
Enrolled (PECOS I20150831001840); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 880 Madison Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Patricia Adams-Graves, MDHematology & Oncology Physician1578529202
  2. Tina Agbaosi, M.DInfectious Disease Physician1740423417
  3. Bilawal Ahmed, MDHematology & Oncology Physician1164837829
  4. Nazneen Ahmed, M.D.Gastroenterology Physician1154355592
  5. Connor Alexander, PHARMDPharmacist1619775442
  6. Leonard Baidoo, MDGastroenterology Physician1669444642

Verify Pooja Ranbirchand Sethi in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTennessee Board of Medical Examiners
    Search for license 52736
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Tennessee license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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87% fewer Medicare Part D claims than the average internal medicine physician in 2024

416 Medicare Part D claims for 151 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 43% of claims.

  1. Pooja Sethi416
  2. Specialty average3,176

Most prescribed

  1. Mounjaro36 claims
  2. Ozempic35 claims
  3. Warfarin Sodium29 claims
  4. Spironolactone18 claims
  5. Trulicity16 claims
  6. Gabapentin15 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 75.1 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.

  1. Qualityout of 100 · 30% of the final score56.5
  2. Costout of 100 · 30%71.9
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $79.72

3 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Pooja Sethi$79.72
  2. Specialty average$1,303.06

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

  1. UT Regional One Physicians IncMemphis, TN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Pooja Ranbirchand Sethi among 2,596 internal medicine physician records in Tennessee

Pooja Ranbirchand Sethi, M.D is one of 2,596 internal medicine physician records with a practice address in Tennessee. 80% 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 72% of them.

  • NPI issued2012 · 72% of these records are older, 26% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated2000 · median 2003 among the 1,705 with a school on file
  • Record last updated2015 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

325 internal medicine physician records list a practice address in Memphis

They are 325 of the 12,794 NPPES records with a practice address in Memphis, and 2,596 internal medicine physician records in Tennessee.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Anna Allen, M.D.Memphis, TN 381031497288138
  2. Karen Andrews, M.D.Memphis, TN 381031407023864
  3. Hettie Gibbs, M.D.Memphis, TN 381031023068277
  4. Irum Haq, MDMemphis, TN 381031497066799
  5. Jeffrey Lowder, M.D.Memphis, TN 381031508127630
  6. Jack McCue, M.D.Memphis, TN 381031003885989
  7. Robert Morrison, MDMemphis, TN 381031154388031
  8. Gary Nace, MDMemphis, TN 381031538137914

Common questions

What is Pooja Ranbirchand Sethi, M.D's NPI number?

Pooja Ranbirchand Sethi, M.D's National Provider Identifier (NPI) is 1306104385, issued on Apr 27, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Pooja Ranbirchand Sethi, M.D located?

The NPPES record lists a practice address at 880 Madison Ave, Memphis, TN, 38103. Phone: (901) 545-6969. Providers update this record themselves, so call before visiting.

How can I verify Pooja Ranbirchand Sethi, M.D's license?

NPPES lists Tennessee license number 52736, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Pooja Ranbirchand Sethi, M.D prescribe under Medicare Part D?

In 2024, Pooja Ranbirchand Sethi, M.D had 416 Medicare Part D claims for 151 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

What is Pooja Ranbirchand Sethi, M.D's MIPS final score?

The 2023 MIPS final score is 75.1 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.