NPIMap

Individual provider Active NPI

Rajakumari L Swamy, MD

  • Internal Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1124044425
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RS063241 Issued in MI
Practice address
4065 E Cook Rd
Grand Blanc, MI 48439-8021
Phone
(810) 695-2500
Fax
(810) 695-6766
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RS063241 MI Primary

Addresses

Primary practice location

4065 E Cook Rd
Grand Blanc, MI 48439-8021

Mailing address

4065 E Cook Rd
Grand Blanc, MI 48439-8021
Phone (810) 695-2500

Other identifiers 7

IdentifierTypeStateIssuer
0005925576OtherAETNA
0980138OtherMIHEALTH PLUS
0250320OtherMIBCBS
1693920014OtherSELECTCARE
4266146MedicaidMI
C5216414OtherMIMCARE
G58746OtherHAP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051102000039 MI Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3678590205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4065 E Cook Rd
Grand Blanc, MI 48439-8021
Phone (810) 695-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RS063241MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rajakumari L Swamy MD PC Internal Medicine CurrentSince Nov 21, 2005 Accepting new patients
Genesys Integrated Group Practice PC Past Accepting new patients

Locations

3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025

4065 E Cook Rd
Grand Blanc, MI 48439
Phone (810) 695-2500

Interoperability endpoints

  • Direct secure messaging: rswamy1154965@direct.hfhs.org
  • Direct secure messaging: rajakumariswamy@pmi.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124044425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 E COOK RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398021",
            "telephone_number": "810-695-2500",
            "fax_number": "810-695-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 E COOK RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398021",
            "telephone_number": "810-695-2500",
            "fax_number": "810-695-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAMY",
        "first_name": "RAJAKUMARI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "RS063241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005925576",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0980138",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0250320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTCARE",
            "identifier": "1693920014",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4266146",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C5216414",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "G58746",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.