DR. SANJAY SETHI (MD) – Medical Oncology Physician, NPI 1326081274
Medical Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
770 MEDICAL ONCOLOGY in TX
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Provider Addresses for DR. SANJAY SETHI (MD)
Texas Oncology, 1350, First Colony Boulevard, Sugar Land, Fort Bend County, Texas, 77479, United States
SUGAR LAND, TX 774794308
Phone: (281) 277-5200
Fax: (281) 277-7295
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 753911230
Phone: (972) 997-8000
Fax: (972) 437-9605
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $418.
Total Amount is formed as General ($418) + Research ($0) + Ownership ($0) = $418.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Gilead Sciences, Inc. ($144).
Total Amount
$418
General + Research + Ownership
Payments
13
Total payment records
General Amount
$418
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $144 |
| Celgene Corporation | $54 |
| Tempus AI, Inc | $44 |
| BeiGene USA, Inc. | $42 |
| Novartis Pharmaceuticals Corporation | $35 |
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: 2005-07-19
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 |
|---|---|---|---|---|
| I20050719001092 | I | Medical Oncology | TX | 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 |
|---|---|---|---|---|
| J1453 | Injection, fosaprepitant, 1 mg | 7,200 | 17 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 4,200 | 39 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 907 | 228 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 837 | 231 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 660 | 24 | $0 |
Insurance plans in this area (ZIP 77479)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| MEDICAL ONCOLOGY | TX | 74177 | CT scan of abdomen and pelvis with contrast | 47 | 28 |
| MEDICAL ONCOLOGY | TX | 82270 | Stool analysis for blood to screen for colon tumors | 18 | 18 |
| MEDICAL ONCOLOGY | TX | 85610 | Blood test, clotting time | 210 | 17 |
| MEDICAL ONCOLOGY | TX | 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 242 | 33 |
| MEDICAL ONCOLOGY | TX | 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 37 | 20 |
| MEDICAL ONCOLOGY | TX | 96415 | Infusion of chemotherapy into a vein | 81 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Surgical Oncology | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Hematology/Oncology, Internal Medicine, Medical Oncology | TX | |
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX |
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