DR. PUJA SETHI (M.D.) – Sleep Medicine (Family Medicine) Physician, NPI 1760753271
Sleep Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for DR. PUJA SETHI (M.D.)
1901 W HARRISON ST
CHICAGO, IL 606123714
Phone: (312) 864-6000
Type: Mailing
1500 S FAIRFIELD AVE
CHICAGO, IL 606081782
Phone: (773) 542-2000
Type: Mailing
1500 S Fairfield Ave
Chicago, IL 606081782
Phone: (773) 542-2000
Type: Location
908 N Elm St Ste 306
Hinsdale, IL 605213625
Phone: (630) 323-5214
Fax: (630) 323-5215
Type: Location
1314 KENSINGTON RD.
UNIT 3161
OAK BROOK, IL 605223161
Phone: (630) 297-8282
Fax: (630) 278-6118
Type: Mailing
7530 WOODWARD AVE STE A
WOODRIDGE, IL 605173100
Phone: (630) 297-8282
Fax: (630) 278-6118
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $1,796.
Total Amount is formed as General ($1,796) + Research ($0) + Ownership ($0) = $1,796.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($701).
Total Amount
$1,796
General + Research + Ownership
Payments
38
Total payment records
General Amount
$1,796
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| JAZZ PHARMACEUTICALS INC. | $701 |
| HARMONY BIOSCIENCES LLC | $255 |
| Inspire Medical Systems, Inc. | $234 |
| Avadel CNS Pharmaceuticals, LLC | $174 |
| GENZYME CORPORATION | $150 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130226000614 | I | Family Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 39 | $0 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 44 | 42 | $0 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 43 | 43 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 32 | 32 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 32 | 28 | $0 |
Insurance plans in this area (ZIP 60612)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SLEEP MEDICINE | IL | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 56 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Interventional Radiology, Diagnostic Radiology | IL | |
| Radiation Oncology, Diagnostic Radiology | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| Endocrinology, Internal Medicine | IL | |
| Internal Medicine, Sleep Medicine | IL | |
| Internal Medicine | IL | |
| - | IL | |
| P A T H O L O G Y | IL | |
| General Surgery, Colorectal Surgery (Proctology) | IL |
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