MR. SIMRAT S SETHI MD
NPI 1609830892
Psychiatry & Neurology - Psychiatry in Cherokee, IA

NPI Status: Active since April 14, 2006

Contact Information

1251 W CEDAR LOOP
CHEROKEE, IA
ZIP 51012
Phone: (712) 225-2594
Fax: (712) 225-1684

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Psychiatry
  • PECOS Enrolled

About SIMRAT SETHI

This page provides the complete NPI Profile along with additional information for Simrat Sethi, a provider established in Cherokee, Iowa with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1609830892 assigned on April 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 33517 (IA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1609830892
Provider Name
MR. SIMRAT S SETHI MD
Gender
Male
Entity Type
Individual
Location Address
1251 W CEDAR LOOP CHEROKEE, IA 51012
Location Phone
(712) 225-2594
Location Fax
(712) 225-1684
Mailing Address
1251 W CEDAR LOOP CHEROKEE, IA 51012
Mailing Phone
(712) 225-2594
Mailing Fax
(712) 225-1684
Is Sole Proprietor?
Yes
Enumeration Date
04-14-2006
Last Update Date
07-08-2007
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A psychiatrist like Simrat Sethi are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
33517
License State
IA
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H35257MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Simrat Sethi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

This service was performed 71 times for 30 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 51012 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $161.4
  • Minimum New Patient Price $52.96
  • Maximum New Patient Price $161.4
  • Average New Patient Copayment $40.35
  • Minimum New Patient Copayment $13.24
  • Maximum New Patient Copayment $40.35

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.36
  • Minimum Established Patient Price $16.91
  • Maximum Established Patient Price $131.98
  • Average Established Patient Copayment $16.59
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609830892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091630818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 6 + 3 + 0 + 8 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1609830892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235194648MR. BRADLEY R DIRKS PAC
Individual
Physician Assistant1251 W CEDAR LOOP
CHEROKEE, IA 51012
(712) 225-2594
1962467381MR. CHARLES E MURPHY DO
Individual
Psychiatry & Neurology (Psychiatry)1251 W CEDAR LOOP
CHEROKEE, IA 51012
(712) 225-2594
1801979257MS. MARY SUE BENSON ARNP
Individual
Nurse Practitioner (Family)1251 W CEDAR LOOP
CHEROKEE, IA 51012
(712) 225-2594
1952470130MR. GAIL DUANE VEGTER PA-C
Individual
Physician Assistant1251 W CEDAR LOOP
CHEROKEE, IA 51012
(712) 225-6918
1659586584HUMAN SERVICES CHEROKEE
Organization
Psychiatric Hospital1251 W CEDAR LOOP
CHEROKEE, IA 51012
(712) 225-2594
1093713307HUMAN SERVICES-CHEROKEE
Organization
Psychiatric Hospital1251 W CEDAR LOOP
CHEROKEE, IA 51012
(712) 225-2594
1285693929 STEWART A FERN
Individual
Psychiatry & Neurology (Psychiatry)1251 W CEDAR LOOP
CHEROKEE, IA 51012
(712) 225-2594
1346674660 LAYHLA KEAIRNS PA-C
Individual
Physician Assistant1251 W CEDAR LOOP
CHEROKEE, IA 51012
(712) 225-2594
1942379557MRS. JANNE L JOHNSON ARNP
Individual
Clinical Nurse Specialist (Medical-Surgical)1251 W CEDAR LOOP
CHEROKEE, IA 51012
(712) 225-2594
1174128342 KAYLA LYNN MORETZ NP
Individual
Nurse Practitioner (Primary Care)1251 W CEDAR LOOP
CHEROKEE, IA 51012
(712) 225-2594
1710768817 LUIS FABIAN SALAZAR ARCE MSN, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1251 W CEDAR LOOP
CHEROKEE, IA 51012
(712) 225-2594

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609830892, enumerated in the NPI registry as an "individual" on April 14, 2006

The provider is located at 1251 W Cedar Loop Cherokee, Ia 51012 and the phone number is (712) 225-2594

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $161.4 with an average copayment of $40.35 for new patient appointments. Established patients should expect a typical charge of $66.36 and an average copayment of 16.59. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 15 minutes.

This NPI record was last updated on April 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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