DR. KARTHIK SWAMY M.D
NPI 1033443783
Student in an Organized Health Care Education/Training Program in Houston, TX

NPI Status: Active since September 29, 2009

Contact Information

1 BAYLOR PLZ
HOUSTON, TX
ZIP 77030
Phone: (832) 824-5809

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  • Individual
  • Male
  • Years of Experience 20
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KARTHIK SWAMY

This page provides the complete NPI Profile along with additional information for Karthik Swamy, a primary care provider established in Houston, Texas with a medical specialization in Student In An Organized Health Care Education/training Program and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1033443783 assigned on September 2009. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1033443783
Provider Name
DR. KARTHIK SWAMY M.D
Other Name
DR. KARTHIK SWAMY
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
1 BAYLOR PLZ HOUSTON, TX 77030
Location Phone
(832) 824-5809
Mailing Address
1 BAYLOR PLZ HOUSTON, TX 77030
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
Yes
Enumeration Date
09-29-2009
Last Update Date
05-16-2023
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A primary care provider (PCP) like Karthik Swamy sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License State
NM
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Blue Saver Bronze for Business - PPO
  • Blue Saver Gold for Business - PPO
  • Blue Secure Gold for Business - PPO
  • Blue Secure Silver for Business - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Karthik Swamy is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Karthik Swamy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5799013157

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240709000963

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. KARTHIK SWAMY M.D

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033443783
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063846716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 8 + 4 + 6 + 7 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1033443783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MS. PATRICIA ANN WARD M.S., C.G.C.

Genetic Counselor, MS

1 BAYLOR PLZ
BAYLOR COLLEGE OF MEDICINE
HOUSTON, TX
ZIP 77030

(713) 798-3863

RICHARD A HRACHOVY M.D.

Psychiatry & Neurology

(Clinical Neurophysiology)

1 BAYLOR PLZ
SUITE NB 302
HOUSTON, TX
ZIP 77030

(713) 798-0980

ANGELA S SILER-FISHER MD

Emergency Medicine

1 BAYLOR PLZ
HOUSTON, TX
ZIP 77030

(713) 873-3560

JERRY CLAY GOODMAN M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

1 BAYLOR PLZ
HOUSTON, TX
ZIP 77030

(713) 481-3544

DR. ELIZABETH ROSE KOCH M.D.

Radiology

(Diagnostic Radiology)

1 BAYLOR PLZ
DEPT OF RADIOLOGY,BCM 360
HOUSTON, TX
ZIP 77030

(713) 798-4417

WEEI-CHIN LIN

Internal Medicine

(Hematology & Oncology)

1 BAYLOR PLZ
MS:BCM187
HOUSTON, TX
ZIP 77030

(713) 798-1835

PENELOPE T LOUIS MD

Pediatrics

1 BAYLOR PLZ
BAYLOR COLLEGE OF MEDICINE
HOUSTON, TX
ZIP 77030

(832) 822-6503

YING YE MD

Pathology

(Clinical Pathology/Laboratory Medicine)

1 BAYLOR PLZ
HOUSTON, TX
ZIP 77030

(713) 798-4661

MS. NANCY GRETA RENEE DU FRANE RN, FNP-C

Nurse Practitioner

1 BAYLOR PLZ
MAILSTOP BCM-185
HOUSTON, TX
ZIP 77030

(713) 873-5347

DR. AMIT ASHOK BHATT MD

Pediatrics

1 BAYLOR PLZ
DEPARTMENT OF PERINATAL/NEONATAL MEDICINE
HOUSTON, TX
ZIP 77030

(832) 826-1309

DR. SAMUELW ERIC WILLIS MD

Family Medicine

1 BAYLOR PLZ
DEPARTMENT OF FAMILY MEDICINE
HOUSTON, TX
ZIP 77030

(713) 798-7700

DR. ERIC STEVEN SCHMITT PH.D., M.S., C.G.C.

Genetic Counselor, MS

1 BAYLOR PLZ
NAB 2015
HOUSTON, TX
ZIP 77030

(713) 798-6534

DR. ANDRES EFRAIN SPLENSER M.D.

Internal Medicine

1 BAYLOR PLZ
HOUSTON, TX
ZIP 77030

(713) 798-0190

BAYLOR COLLEGE OF MEDICINE/NEUROLOGY ASSOCIATES

Clinic/Center

(Medical Specialty)

1 BAYLOR PLZ
NB 302
HOUSTON, TX
ZIP 77030

(713) 798-7990

DR. JAMES WELTON LOMAX M.D.

Psychiatry & Neurology

(Psychiatry)

1 BAYLOR PLZ
MS 350
HOUSTON, TX
ZIP 77030

(713) 798-4878

MELINDA ANNE STANLEY PH.D.

Psychologist

(Cognitive & Behavioral)

1 BAYLOR PLZ
BCM 350
HOUSTON, TX
ZIP 77030

(713) 798-4867

DR. KATRINA A GWINN M.D.

Psychiatry & Neurology

(Neurology)

1 BAYLOR PLZ
T-903 MHG
HOUSTON, TX
ZIP 77030

(713) 798-5703

DR. WILLIAM PAUL GLEZEN M.D.

Pediatrics

1 BAYLOR PLZ
HOUSTON, TX
ZIP 77030

(713) 798-5249

PROF. DOLORES J LAMB PH.D.

Pathology

(Clinical Laboratory Director, Non-physician)

1 BAYLOR PLZ
HOUSTON, TX
ZIP 77030

(713) 798-6267

MR. ANTONE ROBERT OPEKUN JR. PA-C

Physician Assistant

1 BAYLOR PLZ
MEDICINE/PEDIATRICS MS620
HOUSTON, TX
ZIP 77030

(713) 798-0956

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033443783, enumerated as an "individual" on September 29, 2009.

The provider is located at 1 BAYLOR PLZ HOUSTON, TX 77030 and the phone number is (832) 824-5809.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to verify.