DR. SWETHA S NUKALA MD
NPI 1043835614
Family Medicine in Downers Grove, IL

Q: What is Swetha Nukala's NPI number?

The NPI number for Swetha Nukala is 1043835614. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Q: What is Swetha Nukala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Swetha Nukala was last updated on September 10, 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.

Active since June 10, 2020PECOS EnrolledAccepts Medicare Assignment

1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515(262) 693-4311 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 10, 2025, Oct 13, 2023, Jun 10, 2020 (3 updates tracked since 2020).

On this page

About Dr. Swetha S Nukala Md NPPES

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

DR. SWETHA S NUKALA MD (NPI 1043835614) is an individual family medicine provider in Downers Grove, Illinois, licensed in Illinois (036-166191) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Advocate Condell Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043835614

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SWETHA S NUKALACredential: MD

Location Address1441 BRANDING AVE STE 310Downers Grove, IL 60515-5624

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(262) 693-4311

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 10, 2020

Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1043835614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036-166191✔ Licensed in WI · 102962

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1441 BRANDING AVE STE 310, Downers Grove, IL 60515

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Village Grn Ste 120Lincolnshire, IL 60069-3095 · Phone (847) 634-1766 · Fax (847) 634-2894

Location 21150 N. Palm Canyon Dr.Palm Springs, CA 92262 · Phone (760) 449-5294

Other Identifiers 1

Medicaid100333905WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Aspirus Health Plan 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

Dr. Swetha S Nukala Md 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 ID2860856275

PECOS Enrollment IDI20230918002238, I20250807002237

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 Reassignments

Medicare enrollment records show Swetha Nukala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corporation

1.2 mi

General Acute Care Hospital

3815 HIGHLAND AVE
Downers Grove, IL 60515

Reassigned Medicare billing, Illinois enrollment
4,870 clinicians in this Medicare group

NPI 1578670543 (630) 275-5900

Aurora Medical Group, Inc.

80 mi

Family Medicine

3301 W FOREST HOME AVE
Milwaukee, WI 53215

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1427271378 (877) 576-3544

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

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

94 services54 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

58 services41 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services34 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

33 services33 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140202

Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

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.

THERESA DOLAN APN

Nurse Practitioner (Family)