Individual provider Active NPI

Mamta Swaroop, M.D.

  • Surgical Critical Care Physician
  • Chicago, IL
National Provider Identifier
1346437191
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
55407 Issued in IL
Practice address
676 N Saint Clair St
Ste 650
Chicago, IL 60611-2927
Phone
(312) 695-3644
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN11709 FL
Surgical Critical Care Physician 2086S0102X 55407 IL Primary

Addresses

Primary practice location

676 N Saint Clair St
Ste 650
Chicago, IL 60611-2927

Mailing address

676 N Saint Clair St
Ste 650
Chicago, IL 60611-2927
Phone (312) 695-3644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20101101001458 IL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 7113111378 Reassigns benefits to 1 organization
I20221108002300 CA Practitioner - General Surgery 7113111378 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians
Acute Care Surgery Medical Group IncGroup PAC ID 7214006816, 205 clinicians
Jaspreet Somal M.D., a.P.C.Group PAC ID 0840604690, 10 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 497-2727

4776 Allied Rd
San Diego, CA 92120-2412
Phone (216) 776-8923

Hospital & facility affiliations

  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Kern Medical Center Hospital, Bakersfield, CA, CCN 050315

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
47.69
Promoting interoperability
100
Improvement activities
40
Cost
82.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55407ILMDSurgical Critical Care Physician
TRN11709FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery Medical Group, Inc. Surgical Critical Care CurrentSince Sep 15, 2024 Accepting new patients
Surgical Affiliates of California CurrentSince Jun 1, 2025 Accepting new patients
Life Medical Practitioners CurrentSince Jan 1, 2025 Accepting new patients
Kern County Hospital Authority CurrentSince Nov 1, 2022 Accepting new patients
Jaspreet Somal M.D., a.P.C. CurrentSince Jan 1, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 1, 2020 Accepting new patients
Kern County Hospital Authority CurrentSince Nov 1, 2022 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 1, 2020 Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

2190 Lynn Rd
Ste 300
Thousand Oaks, CA 91360
Phone (805) 242-4884

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

Dept 5777
Carol Stream, IL 60122

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

675 N Saint Clair St
Ste 17-250
Chicago, IL 60611
Phone (312) 503-1693

676 N Saint Clair St
Ste 650
Chicago, IL 60611
Phone (312) 695-3800

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 8

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 9

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1346437191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "STE 650",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-695-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "STE 650",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-695-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAROOP",
        "first_name": "MAMTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN11709",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IL",
            "license": "55407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.