Individual provider Active NPI

Swetha Pathi

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1366700601
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q5063 Issued in TX
Practice address
903 W Martin St # Ms 49-2
San Antonio, TX 78207-0903
Phone
(201) 358-8145
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q5063 TX Primary

Addresses

Primary practice location

903 W Martin St # Ms 49-2
San Antonio, TX 78207-0903

Mailing address

PO Box 87
San Antonio, TX 78291-0087
Phone (210) 358-9172

Other practice location 1

1055 Ada St
San Antonio, TX 78223-1703
Phone (210) 358-5515

Other names 1

  • Swetha Diwakar Maddala Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20151002001256 TX Practitioner - Family Practice 7416265913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians

Practice addresses (Care Compare)

903 W Est
2 Robert B Green Facts Clin
San Antonio, TX 78207-0903
Phone (210) 358-3710

903 W Martin
San Antonio, TX 78207-0903

903 W Martin St
San Antonio, TX 78207-0903
Phone (210) 358-5437

903 W Martin St
Ms 49 2
San Antonio, TX 78207-3110
Phone (210) 358-3441

Hospital & facility affiliations

  • University Health System Hospital, San Antonio, TX, CCN 450213

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
83.62
Promoting interoperability
100
Improvement activities
40
Cost
78.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5063TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Family Medicine CurrentSince Aug 4, 2015 Accepting new patients
Pain Management Specialists PastSince Feb 7, 2021 Accepting new patients

Locations

1055 Ada St
San Antonio, TX 78223
Phone (210) 358-5515

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: spathi29023@uhssa.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1366700601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782910087",
            "telephone_number": "210-358-9172",
            "fax_number": "210-358-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W MARTIN ST # MS 49-2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782070903",
            "telephone_number": "201-358-8145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Ada St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782231703",
            "country_code": "US",
            "telephone_number": "210-358-5515",
            "fax_number": "210-358-5530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATHI",
        "first_name": "SWETHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q5063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SWETHA",
            "last_name": "MADDALA",
            "middle_name": "DIWAKAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.