Pooja Sethi, MD
Cardiovascular Disease Physician · Montgomery, AL
Pooja Sethi, MD is a cardiovascular disease physician with a practice address in Montgomery, Alabama, and NPI 1639458987, issued on Aug 4, 2011. Check the license on the Alabama Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Pooja Sethi
- Credential
- MD
- Primary taxonomy
- Cardiovascular Disease Physician 207RC0000X
- License numbers
- 036175691 IL
MD221783 OR
R7885 TX
Self-reported in NPPES; status is on the state search - Practice location
- 4371 Narrow Lane RD, Montgomery, AL 36116
- Phone
- (334) 874-3463
- Enumerated
- Aug 4, 2011
- Record last updated
- Sep 17, 2025
- Medicare enrollment
- Enrolled (PECOS I20250806000756); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest cardiovascular disease physician records → All 311 in Alabama → Look up another NPI →
Also registered at 4371 Narrow Lane RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- James Henderson, M.D.Family Medicine Physician1487075289
- Robin Koffarnus, PHARM.D.Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist1861777997
- Erik Lessmann, M.D.Family Medicine Physician1225003098
Verify Pooja Sethi in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersAlabama Board of Medical ExaminersCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
53% fewer Medicare Part D claims than the average cardiovascular disease physician in 2024
1,440 Medicare Part D claims for 173 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims.
Most prescribed
- Carvedilol151 claims
- Atorvastatin Calcium133 claims
- Furosemide114 claims
- Amlodipine Besylate101 claims
- Isosorbide Mononitrate Er97 claims
- Metoprolol Succinate86 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 MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $338.64
5 payments; by number, the most common kind was food and beverage; the largest payer was Novartis Pharmaceuticals Corporation. The 16,686 providers of this specialty with any payment received $3,819.56 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 2 group practices
- Fairview Heights Medical Group SCAlton, IL
- Salem HealthSalem, OR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pooja Sethi among 311 cardiovascular disease physician records in Alabama
Pooja Sethi, MD is one of 311 cardiovascular disease physician records with a practice address in Alabama. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 79% of them.
- NPI issued2011 · 79% of these records are older, 19% newer
- In a Medicare fileYes · 86% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated2010 · median 1995 among the 221 with a school on file
- Record last updated2025 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Alabama practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Cardiovascular Disease Physician providers in Alabama
There are 311 cardiovascular disease physician records in Alabama.
All 311 in Alabama → Every provider in Montgomery → Cardiovascular Disease Physician nationwide →
The 8 cardiovascular disease physician records with the nearest ZIP codes
- Shyam Padmanabhan, M.D.Montgomery, AL 361161013224609
- Amy Cooper, M.D.Montgomery, AL 361171740469253
- Richard Cyrus, M.D.Montgomery, AL 361171457599607
- Tai-Hwang Fan, M.D.Montgomery, AL 361171225041627
- John Finklea, M.D.Montgomery, AL 361171700810108
- Carlos Garcia, M.D.Montgomery, AL 361171760441869
- Scott Sims, MDMontgomery, AL 361171356346852
- Beverly Stoudemire-Howlett, MDMontgomery, AL 361171891766630
Common questions
What is Pooja Sethi, MD's NPI number?
Pooja Sethi, MD's National Provider Identifier (NPI) is 1639458987, issued on Aug 4, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Pooja Sethi, MD located?
The NPPES record lists a practice address at 4371 Narrow Lane RD, Montgomery, AL, 36116. Phone: (334) 874-3463. Providers update this record themselves, so call before visiting.
How can I verify Pooja Sethi, MD's license?
Search the Alabama Board of Medical Examiners at https://www.albme.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Pooja Sethi, MD prescribe under Medicare Part D?
In 2024, Pooja Sethi, MD had 1,440 Medicare Part D claims for 173 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.
What is Pooja Sethi, MD's MIPS final score?
The 2023 MIPS final score is 100 of 100. 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.