Individual provider Active NPI

Swati Patolia

  • Infectious Disease Physician
  • St Louis, MO
National Provider Identifier
1982952560
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2015019907 Issued in MO
Practice address
10004 Kennerly Rd
Ste 295B
St Louis, MO 63128-6312
Phone
(314) 740-2949
Fax
(314) 375-5020
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2015019907 MO
Infectious Disease Physician 207RI0200X 2015019907 MO Primary

Addresses

Primary practice location

10004 Kennerly Rd
Ste 295B
St Louis, MO 63128-6312

Mailing address

10004 Kennerly Rd Ste 295B
Saint Louis, MO 63128-2177
Phone (314) 740-2949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20151116000542 MO Practitioner - Internal Medicine 4183934557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious DiseaseGroup PAC ID 2466758172, 4 clinicians

Practice addresses (Care Compare)

10004 Kennerly Rd
Suite 295B
Saint Louis, MO 63128-2177
Phone (314) 740-2949

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
88.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015019907MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Infectious Disease CurrentSince Jun 1, 2016 Accepting new patients

Locations

10004 Kennerly Rd
Ste 295B
Saint Louis, MO 63128
Phone (314) 500-2424

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1982952560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 295B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282177",
            "telephone_number": "314-740-2949",
            "fax_number": "314-375-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "STE 295B",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631286312",
            "telephone_number": "314-740-2949",
            "fax_number": "314-375-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATOLIA",
        "first_name": "SWATI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2015019907",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2015019907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis, MO

Sources for this page

Verify at the official NPI Registry.