Active NPI
Swathi Sethuram, MD
- Pediatric Endocrinology Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- C206279
- Practice address
- 3505 Broadway BLDG 12
Oakland, CA 94611-5798 - Phone
- (510) 963-2146
- NPI assigned
- Oct 29, 2014
- Last updated
- Sep 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C206279 | CA | MD | Pediatric Endocrinology Physician |
| 25MA10831300 | NJ | MD | Pediatric Endocrinology Physician |
| 289700 | NY | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Foundation Medical Partners Inc | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Foundation Medical Partners Inc. | Current | 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
- 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.
-
- Internal Medicine Physician
- Nashua, NH
- NPI 1033162037
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Clinic/Center
- Fountain Valley, CA
- NPI 1205167350
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
NH
-
- Durable Medical Equipment & Medical Supplies
- Amherst, NH
- NPI 1679921472
-
dba Massachusetts General Hospital Outpatient Pharmacy
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.