Individual provider Active NPI

Swathi Sethuram, MD

  • Pediatric Endocrinology Physician
  • Oakland, CA
National Provider Identifier
1033514369
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
C206279 Issued in CA
Practice address
3505 Broadway BLDG 12
Oakland, CA 94611-5798
Phone
(510) 963-2146
NPI assigned
Oct 29, 2014
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 25MA10831300 NJ
Pediatric Endocrinology Physician 2080P0205X C206279 CA Primary
Pediatric Endocrinology Physician 2080P0205X 289700 NY

Addresses

Primary practice location

3505 Broadway BLDG 12
Oakland, CA 94611-5798

Mailing address

45060 Synergy St Apt 262
Fremont, CA 94538-6246
Phone (347) 951-6246

Other practice location 1

27303 Sleepy Hollow Ave S
Hayward, CA 94545-4203
Phone (510) 963-2146

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnectprodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)
SOAP URL https://careepicwest.kp.org:14430/Interconnectprodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211220001392 MA Practitioner - Pediatric Medicine 2163761677 Reassigns benefits to 2 organizations
I20211220001506 NH Practitioner - Pediatric Medicine 2163761677 Reassigns benefits to 2 organizations
I20260610000964 CA Practitioner - Pediatric MedicinePractitioner - Endocrinology 2163761677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Endocrinology
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17360 Brookhurst St
Fountain Valley, CA 92708-3720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C206279CAMDPediatric Endocrinology Physician
25MA10831300NJMDPediatric Endocrinology Physician
289700NYMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Nov 11, 2021 Accepting new patients
Foundation Medical Partners Inc CurrentSince Mar 1, 2022 Accepting new patients
General Hospital Corp Current Accepting new patients
Foundation Medical Partners Inc. CurrentSince Mar 1, 2022 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

19 Tyler St
Ste 103
Nashua, NH 03060
Phone (603) 577-3100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sethuram.swathi.mgh@direct.partners.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1033514369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45060 SYNERGY ST APT 262",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386246",
            "telephone_number": "347-951-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 BROADWAY BLDG 12",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115798",
            "telephone_number": "510-963-2146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27303 Sleepy Hollow Ave S",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945454203",
            "country_code": "US",
            "telephone_number": "510-963-2146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETHURAM",
        "first_name": "SWATHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NJ",
            "license": "25MA10831300",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "C206279",
            "primary": true
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "289700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnectprodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3505 Broadway Bldg 12",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946115798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnectprodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "27303 Sleepy Hollow Ave S",
            "city": "Hayward",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945454203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.