Active NPI
Swathi R Pasham, M.D
- Internal Medicine Physician
- Grosse Pointe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301088042
- Practice address
- 22101 Moross Rd
St John Hospital
Grosse Pointe, MI 48236 - Phone
- (734) 464-0887
- Fax
- (734) 402-0254
- NPI assigned
- Mar 10, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 4301088042 | MI | |
| Internal Medicine Physician | 207R00000X | 4301088042 | MI | Primary |
Addresses
Primary practice location
22101 Moross Rd
St John Hospital
Grosse Pointe, MI 48236
Mailing address
4967 Crooks Rd
Ste 130
Troy, MI 48098-5801
Phone (248) 952-1601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70-0-F32947-0 | Other | MI | BCBS CPIN # |
| 1164663852 | Medicaid | MI |
Other names 1
- Swathi Dumbala
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088042 | MI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Physicians Medical Group of Michigan, PC | Hospitalist | Current | Accepting new patients |
| Independent Hospitalist Physicians, PLLC | Internal Medicine | Current | Accepting new patients |
| Henry Ford Cornerstone Medical Group | Current | Accepting new patients | |
| Hospitalist Physicians Medical Group of Michigan, PC | Current | Accepting new patients |
Locations
4260 Van Dyke Rd
Ste 102
Almont, MI 48003
Phone (810) 798-3994
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234
47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100
1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
27450 Schoenherr Rd
Ste 500
Warren, MI 48088
Phone (586) 582-7632
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
Interoperability endpoints
- spasham1143955@direct.hfhs.org
- spasham464203@direct.hfhs.org
- https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Southfield, MI
- NPI 1851820641
Internal Medicine
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1851765374
-
- Emergency Medicine Physician
- Chelsea, MI
- NPI 1003978867
Hospitalist
-
- Emergency Medicine Physician
- Saint Joseph, MI
- NPI 1407618234
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1164663852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4967 CROOKS RD",
"address_2": "STE 130",
"city": "TROY",
"state": "MI",
"postal_code": "480985801",
"telephone_number": "248-952-1601",
"fax_number": "248-952-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22101 MOROSS RD",
"address_2": "ST JOHN HOSPITAL",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "48236",
"telephone_number": "734-464-0887",
"fax_number": "734-402-0254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASHAM",
"first_name": "SWATHI",
"middle_name": "R",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-10",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301088042",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301088042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CPIN #",
"identifier": "70-0-F32947-0",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164663852",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SWATHI",
"last_name": "DUMBALA",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.