Individual provider Active NPI

Swati Dutta, MD

  • Radiation Oncology Physician
  • Ypsilanti, MI
National Provider Identifier
1225054679
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35.134831 Issued in OH
Practice address
5301 East Huron River Drive
Ypsilanti, MI 48197-0995
Phone
(734) 712-3595
Fax
(734) 712-5344
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 073251 MI
Radiation Oncology Physician 2085R0001X 35.134831 OH Primary

Addresses

Primary practice location

5301 East Huron River Drive
Ypsilanti, MI 48197-0995

Mailing address

1420 Stephenson Hwy
Suite 400-Credentialing
Troy, MI 48083-1189
Phone (248) 581-5974

Other practice location 1

524 W High St
Bryan, OH 43506-1618
Phone (419) 636-9800

Other identifiers 1

IdentifierTypeStateIssuer
4668311MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, MN, MT4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050106000455 MI Practitioner - Radiation Oncology 7315936135 Reassigns benefits to 3 organizations
I20190204002047 OH Practitioner - Radiation Oncology 7315936135 Reassigns benefits to 3 organizations
I20251021000198 MN Practitioner - Radiation Oncology 7315936135 Reassigns benefits to 1 organization
I20260223002195 MT Practitioner - Radiation Oncology 7315936135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Luke's Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

1001 E Superior St
Suite 101
Duluth, MN 55802-2227
Phone (218) 249-7880

1414 W Fair Ave
Suite 36
Marquette, MI 49855-2675
Phone (906) 225-3864

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
073251MIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital of Duluth Current Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Aug 18, 2014 Accepting new patients
Dickinson County Healthcare System CurrentSince Aug 25, 2019 Accepting new patients
Integrative Skin Center, PLLC CurrentSince Jan 1, 2015 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Sep 1, 2025 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Feb 19, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 16, 2018 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Sep 1, 2025 Accepting new patients
Billings Clinic CurrentSince Feb 9, 2026 Accepting new patients
DLP Marquette Physician Practices Inc Current Accepting new patients
Midwest Community Health Associates, Inc. CurrentSince Nov 22, 2024 Accepting new patients
Midwest Community Health Associates, Inc. CurrentSince Nov 22, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 16, 2018 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Feb 19, 2024 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Aug 18, 2014 Accepting new patients
Huron River Radiation Oncology Specialists PC Radiation Oncology Past Accepting new patients
DLP Marquette Physician Practices Inc Past Accepting new patients
Genesis Medical Group LLC Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

2246 N Monroe St
Monroe, MI 48162
Phone (734) 241-4950

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

1001 E Superior St
Ste 101
Duluth, MN 55802
Phone (218) 249-3081

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

524 W High St
Bryan, OH 43506
Phone (419) 636-9800

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

442 W High St
Bryan, OH 43506
Phone (260) 266-8210

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

1010 Olive Ave
Florence, WI 54121
Phone (715) 528-4775

Interoperability endpoints

  • Direct secure messaging: sdutta383590@direct.aspirus.org
  • Direct secure messaging: sdutta1125841@direct.hfhs.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1225054679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 STEPHENSON HWY",
            "address_2": "SUITE 400-CREDENTIALING",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831189",
            "telephone_number": "248-581-5974",
            "fax_number": "248-581-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 EAST HURON RIVER DRIVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481970995",
            "telephone_number": "734-712-3595",
            "fax_number": "734-712-5344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 W High St",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "OH",
            "postal_code": "435061618",
            "country_code": "US",
            "telephone_number": "419-636-9800",
            "fax_number": "419-636-0451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTTA",
        "first_name": "SWATI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "073251",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35.134831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4668311",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.