Individual provider Active NPI

Thejas N Swamy, MD

  • Nephrology Physician
  • Middletown, CT
National Provider Identifier
1790914547
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
051699 Issued in CT
Practice address
535 Saybrook Rd Ste 5
Middletown, CT 06457-4743
Phone
(860) 344-8606
Fax
(860) 344-8963
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 051699 CT Primary

Addresses

Primary practice location

535 Saybrook Rd Ste 5
Middletown, CT 06457-4743

Mailing address

535 Saybrook Rd Ste 5
Middletown, CT 06457-4743
Phone (860) 344-8606

Other practice location 1

35 Saybrook Rd
Essex, CT 06426-1490
Phone (860) 344-8606 ext. 2

Other identifiers 8

IdentifierTypeStateIssuer
5955504OtherCTCIGNA
2539259OtherCTCOVENTRY/FIRST HEALTH
929297OtherCTWELLCARE
5295851OtherCTAETNA
P4854527OtherCTUHC/OXFORD
1790914547MedicaidCT
P01262027OtherCTRAILROAD
051699OtherCTCONNECTICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20130816000385 CT Practitioner - Nephrology 1951543164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midstate Nephrology Associates PCGroup PAC ID 6406955764, 2 clinicians

Practice addresses (Care Compare)

535 Saybrook Rd
Middletown, CT 06457-4743
Phone (860) 344-8606

Hospital & facility affiliations

  • DaVita PDI Middlesex Dialysis Center Dialysis facility, Middletown, CT, CCN 072524
  • FMC Central Ct Dialysis Center Dialysis facility, Meriden, CT, CCN 072508
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as individual
Quality
72.49
Improvement activities
40
Cost
79.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051699CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Nephrology Associates PC Nephrology CurrentSince Aug 1, 2013 Accepting new patients

Locations

377 Research Pkwy
Meriden, CT 06450
Phone (203) 639-2880

100 Main St
Ste A
Middletown, CT 06457
Phone (860) 346-5600

535 Saybrook Rd
Ste 5
Middletown, CT 06457
Phone (860) 344-8606

535 Saybrook Rd
Middletown, CT 06457
Phone (860) 344-8606

85 Church St
Middletown, CT 06457
Phone (860) 344-8606

Interoperability endpoints

  • Direct secure messaging: thejas.swamy@xdr.hhchealthdirect.org
  • Direct secure messaging: thejas.swamy@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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 5

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1790914547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SAYBROOK RD STE 5",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574743",
            "telephone_number": "860-344-8606",
            "fax_number": "860-344-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SAYBROOK RD STE 5",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574743",
            "telephone_number": "860-344-8606",
            "fax_number": "860-344-8963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Saybrook Rd",
            "address_purpose": "LOCATION",
            "city": "Essex",
            "state": "CT",
            "postal_code": "064261490",
            "country_code": "US",
            "telephone_number": "860-344-8606 x2",
            "fax_number": "860-344-8963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAMY",
        "first_name": "THEJAS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "051699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5955504",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY/FIRST HEALTH",
            "identifier": "2539259",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "929297",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5295851",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC/OXFORD",
            "identifier": "P4854527",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790914547",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01262027",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "051699",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.