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SHWETHA GOPAL
NPI 1023679198
Internal Medicine - Cardiovascular Disease in Dover, DE

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment
640 S STATE ST # 3055, DOVER, DE 19901(302) 672-4600 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shwetha Gopal NPPES

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

SHWETHA GOPAL (NPI 1023679198) is an individual cardiovascular disease provider in Dover, Delaware, licensed in Delaware (C1-0028155) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1023679198
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSHWETHA GOPAL
Location Address640 S STATE ST # 3055Dover, DE 19901-3530
Mailing Address640 S State StDover, DE 19901-3530
Phone(302) 672-4600
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 27, 2019
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1023679198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in DE · C1-0028155
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License C1-0028155 (DE)
640 S STATE ST # 3055, Dover, DE 19901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shwetha Gopal 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 ID6507236973
PECOS Enrollment IDI20251124001492
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.

Medicare Billing Reassignment

Medicare enrollment records show Shwetha Gopal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bayhealth Medical Center, Inc.
Same address
Emergency Medicine
640 S STATE ST
Dover, DE 19901
NPI 1679072144 (302) 744-7113

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shwetha Gopal's NPI number?

The NPI number for Shwetha Gopal is 1023679198. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Shwetha Gopal located?

Shwetha Gopal practices at 640 S State St # 3055, Dover, DE 19901. The listed phone number is (302) 672-4600.

What is Shwetha Gopal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Shwetha Gopal enrolled in Medicare?

Yes. Shwetha Gopal 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.

Which organization bills Medicare for Shwetha Gopal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shwetha Gopal reassigns Medicare benefits to Bayhealth Medical Center, Inc. (Dover, DE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shwetha Gopal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shwetha Gopal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next list Shwetha Gopal 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.

When was this NPI record last updated?

The NPPES record for Shwetha Gopal was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.