Vishal Sethi, M.D
Infectious Disease Physician · Baltimore, MD
Vishal Sethi, M.D is an infectious disease physician with a practice address in Baltimore, Maryland, and NPI 1225251440, issued on Apr 10, 2007. Check the license (Maryland D0070809, as entered in NPPES) on the Maryland Board of Physicians; the Medicare figures below come from public CMS files.
- Name
- Vishal Sethi
- Credential
- M.D
- Primary taxonomy
- Infectious Disease Physician 207RI0200X
- License number
- D0070809 MD
Self-reported in NPPES; status is on the state search - Practice location
- 1040 Park Ave Ste 200, Baltimore, MD 21201
- Phone
- (443) 738-0300
- Enumerated
- Apr 10, 2007
- Record last updated
- Jun 16, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (443) 738-0301
- Medicaid ID
- 132190100 MD
- Medicare enrollment
- Enrolled (PECOS I20101119000102); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest infectious disease physician records → All 410 in Maryland → Look up another NPI →
Also registered at 1040 Park Ave Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Anika Alvanzo, MD, MSInternal Medicine Physician1184641870
- Charles Bergman, M.D.Emergency Medicine Physician1962468306
- Shanna Borell, LCSWSocial Worker1790561983
- Stephanie Davis, MD, PHDFamily Medicine Physician1427686260
- Abigail Dominijanni, PA-CPhysician Assistant1801243563
- Jacqueline Ejim, LCPCProfessional Counselor1861920282
Verify Vishal Sethi in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMaryland Board of Physicians
Search for license D0070809Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
94% fewer Medicare Part D claims than the average infectious disease physician in 2024
43 Medicare Part D claims for 21 beneficiaries, against an average of 689 among the 7,388 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of 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): 76.6 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: $22.67
1 payment: food and beverage; the largest payer was Abbvie Inc. The 3,895 providers of this specialty with any payment received $4,362.19 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
- Sinai Hospital OF Baltimore, IncBaltimore, MD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Vishal Sethi among 410 infectious disease physician records in Maryland
Vishal Sethi, M.D is one of 410 infectious disease physician records with a practice address in Maryland. 59% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 45% of them.
- NPI issued2007 · 45% of these records are older, 44% newer
- In a Medicare fileYes · 59% of these records are
- In the CMS Doctors and Clinicians fileYes · 49% of these records are
- Graduated2002 · median 2002 among the 202 with a school on file
- Record last updated2018 · 69% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RI0200X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Infectious Disease Physician providers in Maryland
There are 410 infectious disease physician records in Maryland.
All 410 in Maryland → Every provider in Baltimore → Infectious Disease Physician nationwide →
The 8 infectious disease physician records with the nearest ZIP codes
- Africa Alvarez-McLeod, M.D.Baltimore, MD 212011033116603
- William Anthony, MD MBABaltimore, MD 212011326025081
- Chandralekha Banerjee, MDBaltimore, MD 212011114902210
- William Blattner, MDBaltimore, MD 212011528020757
- Mayurika Ghosh, MDBaltimore, MD 212011497730592
- Kent Kester, M.D.Baltimore, MD 212011649250622
- Mariam Khambaty, M.D.Baltimore, MD 212011124080809
- Kirsten Lyke, M.D.Baltimore, MD 212011164416400
Common questions
What is Vishal Sethi, M.D's NPI number?
Vishal Sethi, M.D's National Provider Identifier (NPI) is 1225251440, issued on Apr 10, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Vishal Sethi, M.D located?
The NPPES record lists a practice address at 1040 Park Ave Ste 200, Baltimore, MD, 21201. Phone: (443) 738-0300. Providers update this record themselves, so call before visiting.
How can I verify Vishal Sethi, M.D's license?
NPPES lists Maryland license number D0070809, as entered by the provider. Search the Maryland Board of Physicians at https://www.mbp.state.md.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Vishal Sethi, M.D prescribe under Medicare Part D?
In 2024, Vishal Sethi, M.D had 43 Medicare Part D claims for 21 beneficiaries; the average among infectious disease physician prescribers was 689. Part D covers Medicare prescriptions only.
What is Vishal Sethi, M.D's MIPS final score?
The 2023 MIPS final score is 76.6 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.