Individual provider Active NPI

Swathi Mannava Gowtham, MD

  • Pediatric Infectious Diseases Physician
  • Danville, PA
National Provider Identifier
1023397197
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
25MA13008300 Issued in NJ
Practice address
100 N Academy Ave
Danville, PA 17822-1320
Phone
(570) 271-7910
Fax
(570) 271-6002
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD453273 PA
Pediatric Infectious Diseases Physician 2080P0208X 25MA13008300 NJ Primary
Pediatric Infectious Diseases Physician 2080P0208X MD453273 PA

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822-1320

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgowtham119516@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141208001510 PA Practitioner - Pediatric Medicine 1951531540 Reassigns benefits to 1 organization
I20260430004402 NJ Practitioner - Pediatric Medicine 1951531540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 W Gilbert St
Tinton Falls, NJ 07701-4948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA13008300NJMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Medical Oncology Selinsgrove CurrentSince Dec 1, 2014 Accepting new patients
Geisinger Clinic CurrentSince Dec 1, 2014 Accepting new patients
Geisinger Clinic Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

190 Welles St
Kingston, PA 18704
Phone (570) 283-0524

190 Welles St
Ste 122
Kingston, PA 18704
Phone (570) 718-4140

126 Market Way
Mount Pocono, PA 18344
Phone (570) 839-3633

529 Terry Reiley Way
Pottsville, PA 17901
Phone (570) 624-4120

531 Mt Pleasant Dr
Scranton, PA 18503
Phone (570) 342-8500

2936 Route 611
Tannersville, PA 18372
Phone (570) 619-5142

204 Curtin St
Williamsport, PA 17702
Phone (570) 322-2314

Interoperability endpoints

  • Direct secure messaging: sgowtham119516@direct.geisinger.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1023397197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178221320",
            "telephone_number": "570-271-7910",
            "fax_number": "570-271-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWTHAM",
        "first_name": "SWATHI",
        "middle_name": "MANNAVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD453273",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NJ",
            "license": "25MA13008300",
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "PA",
            "license": "MD453273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgowtham119516@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 N Academy Ave",
            "city": "Danville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178221320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.