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SWATHI DATLA M.B.B.S.
NPI 1013222603
Hospitalist in Kettering, OH

Active since August 09, 2010PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-6665(937) 395-6668 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2023, Dec 2, 2020, Aug 29, 2017 (3 updates tracked since 2017).

About Swathi Datla M.b.b.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SWATHI DATLA M.B.B.S. (NPI 1013222603) is an individual hospitalist provider in Kettering, Ohio, licensed in Ohio (35.122430) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1013222603
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSWATHI DATLACredential: M.B.B.S.
Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address3535 Southern BlvdKettering, OH 45429-1221 · (937) 395-6665 · Fax (937) 395-6668
Phone(937) 395-6665
Fax(937) 395-6668
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 9, 2010
Last NPPES UpdateMay 5, 20233 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
✔ NPI 1013222603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.122430
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 35122430 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3535 SOUTHERN BLVD, Kettering, OH 45429
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Other Identifiers 1

Medicaid0107855OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Swathi Datla M.b.b.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951531862
PECOS Enrollment IDI20140220000227
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
155 services61 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
57 services55 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier22 claims22 services$11.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier50 claims50 services$60.29 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$33.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAGHEED KATKHUDA MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
ANNEMARIE ROSE UNDERWOOD PA-C
Physician Assistant
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8166
SYLVIA POLENAKOVIK M.D.
Internal Medicine
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-6665
SUSAN KAY ZANN RNFS
Registered Nurse (Registered Nurse First Assistant)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8608
DR. LOREN ANN NALLU MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
DR. JEREMY LAWTON CHAPMAN D.O.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. RAHUL RAO DO
Radiology (Diagnostic Radiology)
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8627
CONNOR STEELE
Pharmacist
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Swathi Datla's NPI number?

The NPI number for Swathi Datla is 1013222603. It was assigned to this individual provider in the NPPES registry on August 9, 2010.

Where is Swathi Datla located?

Swathi Datla practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-6665.

What is Swathi Datla's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Swathi Datla enrolled in Medicare?

Yes. Swathi Datla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Swathi Datla accept?

Health plans from CareSource and Oscar Health Insurance list Swathi Datla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Swathi Datla affiliated with any hospitals?

According to CMS data, Swathi Datla is affiliated with Kettering Health Main Campus.

When was this NPI record last updated?

The NPPES record for Swathi Datla was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.