SWATHI SETHURAM MD
NPI 1033514369
Pediatrics - Pediatric Endocrinology in Oakland, CA
About Swathi Sethuram Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SWATHI SETHURAM MD (NPI 1033514369) is an individual pediatric endocrinology provider in Oakland, California, licensed in California (C206279) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hayward, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Swathi Sethuram Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Swathi Sethuram reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fountain Valley, CA 92708
- Reassigned Medicare billing, California enrollment
- 948 clinicians in this Medicare group
Nashua, NH 03060
- Reassigned Medicare billing, New Hampshire enrollment
- 283 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts and New Hampshire enrollments
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
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 94611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Sethuram's NPI number?
The NPI number for Swathi Sethuram is 1033514369. It was assigned to this individual provider in the NPPES registry on October 29, 2014.
Where is Swathi Sethuram located?
Swathi Sethuram practices at 3505 Broadway Bldg 12, Oakland, CA 94611. The listed phone number is (510) 963-2146.
What is Swathi Sethuram's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.
Is Swathi Sethuram enrolled in Medicare?
Yes. Swathi Sethuram is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Swathi Sethuram's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Swathi Sethuram reassigns Medicare benefits to 4 organizations: Memorialcare Medical Foundation (Fountain Valley, CA), Foundation Medical Partners Inc (Nashua, NH), Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). Each 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 Swathi Sethuram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Swathi Sethuram accept?
Health plans from Harvard Pilgrim Health Care and Taro Health list Swathi Sethuram 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 Swathi Sethuram was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.
# Swathi Sethuram, MD · NPI 1033514369
Pediatric Endocrinology physician in Oakland, California. Individual provider, active in the CMS NPPES registry since October 29, 2014.
## Identity
- **NPI:** 1033514369 (Entity type: Individual)
- **Enumerated:** October 29, 2014
- **Primary specialty:** Pediatrics - Pediatric Endocrinology · taxonomy 2080P0205X
- **State license:** C206279 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3505 BROADWAY BLDG 12, Oakland, CA 94611-5798
- **Phone:** (510) 963-2146
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Memorialcare Medical Foundation (NPI 1205167350, Fountain Valley, CA); Foundation Medical Partners Inc (NPI 1033162037, Nashua, NH); Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033514369) · Data from the CMS NPPES public registry.