Minati D Swofford

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

01042478A Issued in IN

Practice address

2101 Jackson St
Ste 118
Anderson, IN 46016-4386

Phone

(765) 683-3160

Fax

(765) 646-8367

NPI assigned

Oct 4, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mina D Swofford Professional name

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Specialty

Dermatology

Education

Northeastern Ohio University College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Mina Swofford, M.D. P.CGroup PAC ID 8224935234, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088
• Community Hospital of Anderson and Madison County Hospital, Anderson, IN, CCN 150113

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Iu Health Medical Group, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1326893777
  Medicare reassignment Care Compare group NPD
• Mina Swofford, M.D. P.C

  • Dermatology Physician
  • Anderson, IN
  • NPI 1326250499
  Medicare reassignment Care Compare group NPD
• University Dermatology, Inc.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1033159405
  NPD
• Kathryn a. Kroeger, M.D., P.C.

  • Specialist
  • Indianapolis, IN
  • NPI 1821367699
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

• Community Hospital of Anderson & Madison County, Inc

  • General Acute Care Hospital
  • Anderson, IN
  • NPI 1972500452
  Care Compare affiliation
• St. Vincent Anderson Regional Hospital, Inc.

  • General Acute Care Hospital
  • Anderson, IN
  • NPI 1679578850
  Care Compare affiliation

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1346237476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST",
            "address_2": "STE 118",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164386",
            "telephone_number": "765-683-3160",
            "fax_number": "765-646-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST",
            "address_2": "STE 118",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164386",
            "telephone_number": "765-683-3160",
            "fax_number": "765-646-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWOFFORD",
        "first_name": "MINATI",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01042478A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100475600",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINA",
            "last_name": "SWOFFORD",
            "middle_name": "D",
            "credential": "MD PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nirmal K Surtani, MD
• Susan Lapierre LLC
• Sweet Galilee at the Wigwam, LLC
• Mary Jo Swenson
• Scott C Swim, MD
• Sophia Marie Sylvernus
• T. Michael Robinson, DDS,PC
• Muhammad Tahir, MD
• Nighat A Tahir, MD
• Courtney Tanner, LCSW

• Dermatology Physician in Anderson, IN
• Providers in Anderson, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.

Verify at the official NPI Registry.