Individual provider

Pradip Sethi, MD

Sleep Medicine (Psychiatry & Neurology) Physician Medicare enrolled

Pradip Sethi, MD is a Sleep Medicine (Psychiatry & Neurology) Physician in Elgin, IL, registered under NPI 1013009653.

Getting there

The practice address on file is 40 NORTH AIRLITE ST SUITE 2, Elgin, IL 60123. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

40 NORTH AIRLITE ST SUITE 2, Elgin, IL 60123 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
036055338 IL Sleep Medicine (Psychiatry & Neurology)… primary

This provider holds licence 036055338 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Neurology
PAC ID
5597732172

Medicare enrolment is recorded as approved under the provider type Practitioner - Neurology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Sleep Medicine covers

A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. NUCC Health Care Provider Taxonomy, code 2084S0012X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Sleep Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1013009653 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 29, 2006
Last updatedDec 21, 2021
StatusActive
Sole proprietorNo
CredentialMD
Practice address 40 NORTH AIRLITE ST
SUITE 2
Elgin, IL 60123
(847) 695-0985
Fax (847) 695-4373
Other identifiers 4901097 · BLUE CROSS BLUE SHIELD (IL)
P00319590 · MEDICARE RAILROAD CARRIER (IL)
The last update on file is Dec 21, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1013009653 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 1 3 0 0 9 6 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 2 3 0 0 9 6 1

Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1013009653?
NPI 1013009653 is the National Provider Identifier assigned to Pradip Sethi, MD in Elgin, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Sleep Medicine cover?
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use…
How do I contact Pradip Sethi, MD?
The phone number on file with NPPES is (847) 695-0985, last updated Dec 21, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Pradip Sethi, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1013009653 a valid number?
Yes. 1013009653 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.