NPIMap

Individual provider Active NPI

Swati Mayur Daftary, MD

  • Physical Medicine & Rehabilitation Physician
  • Louisville, KY
National Provider Identifier
1225180896
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
30614 Issued in KY
Practice address
3103 Breckenridge LN
Ste 1
Louisville, KY 40220-2798
Phone
(502) 495-5055
Fax
(502) 495-5057
NPI assigned
Jan 17, 2007
Last updated
Feb 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 30614 KY Primary

Addresses

Primary practice location

3103 Breckenridge LN
Ste 1
Louisville, KY 40220-2798

Mailing address

3103 Breckenridge LN
Ste 1
Louisville, KY 40220-2798
Phone (502) 495-5055

Other identifiers 1

IdentifierTypeStateIssuer
64306145MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031205000489 KY Practitioner - Physical Medicine and Rehabilitation 7810892494 Reassigns benefits to 1 organization
I20071001000571 IN Practitioner - Physical Medicine and Rehabilitation 7810892494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians
Rehabilitation Institute PLLCGroup PAC ID 3779567706, 2 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone (502) 267-1480

3103 Breckenridge Lane
Suite 1
Louisville, KY 40220-2798

3103 Breckenridge LN
Suite 1
Louisville, KY 40220-2798
Phone (502) 495-5055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.05 of 100Reported as individual
Quality
42.1
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30614KYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Institute CurrentSince Jan 1, 1990 Accepting new patients
Rehabilitation Institute PLLC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2001 Accepting new patients

Locations

3104 Blackiston Blvd
New Albany, IN 47150
Phone (502) 551-8305

3118 Green Valley Rd
New Albany, IN 47150
Phone (502) 648-7291

3103 Breckenridge Ln
Ste 1
Louisville, KY 40220
Phone (502) 495-5055

Organizations & group practices 2

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1225180896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 BRECKENRIDGE LN",
            "address_2": "STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202798",
            "telephone_number": "502-495-5055",
            "fax_number": "502-495-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 BRECKENRIDGE LN",
            "address_2": "STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202798",
            "telephone_number": "502-495-5055",
            "fax_number": "502-495-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFTARY",
        "first_name": "SWATI",
        "middle_name": "MAYUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "30614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64306145",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.