1. Home
  2. Directory
  3. Michigan
  4. Troy
  5. Ophthalmology
  6. NPI Profile

ANIL U SWAMI M.D.
NPI 1053401281
Ophthalmology in Troy, MI

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1950 E WATTLES RD, SUITE 102, TROY, MI 48085(248) 740-1558(248) 740-9988 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anil U Swami M.d. NPPES

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

ANIL U SWAMI M.D. (NPI 1053401281) is an individual ophthalmology provider in Troy, Michigan, licensed in Michigan (4301080769) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and is a graduate of Harvard Medical School (1996).

NPPES Registry Identity

NPI1053401281
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameANIL U SWAMICredential: M.D.
Location Address1950 E WATTLES RD, SUITE 102Troy, MI 48085-5099
Mailing Address1950 E Wattles Rd, Suite 102Troy, MI 48085-5099 · (248) 740-1558 · Fax (248) 740-9988
Phone(248) 740-1558
Fax(248) 740-9988
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1996
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053401281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 4301080769
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1950 E WATTLES RD, Troy, MI 48085
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH28954

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Anil U Swami M.d. 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 ID2668469719
PECOS Enrollment IDI20040429000669
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 11

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
377 services318 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
301 services218 patients
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.
287 services242 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.
277 services148 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
135 services128 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
111 services105 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48085 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 10

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

LANA SPOMER
Physical Therapist
1950 E WATTLES RD, STE 108
TROY, MI 48085
Oakland County (586) 323-2957
DR. MARK R ZOHOURY D.O.
Internal Medicine
1950 E WATTLES RD, STE 101
TROY, MI 48085
Oakland County (248) 740-8000
TRACY PICMANN NP
Nurse Practitioner
1950 E WATTLES RD
TROY, MI 48085
Oakland County (248) 740-8000
DESTINI SANTIAGO RN
Registered Nurse
1950 E WATTLES RD
TROY, MI 48085
Oakland County (248) 935-7704
S.P.O.R.T. PHYSICIANS, P.C.
Specialist
1950 E WATTLES RD, SUITE 110
TROY, MI 48085
Oakland County (248) 528-0050
MARK ZOHOURY
Internal Medicine
1950 E WATTLES RD, STE 101
TROY, MI 48085
Oakland County (248) 740-8000
DENNIS STEVEN GIANNINI M.D.
Physical Medicine & Rehabilitation
1950 E WATTLES RD, SUITE 110
TROY, MI 48085
Oakland County (248) 528-0050
LOURIN CHAHIN MD PLLC
Internal Medicine
1950 E WATTLES RD, SUITE 101
TROY, MI 48085
Oakland County (248) 376-4821

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 Anil Swami's NPI number?

The NPI number for Anil Swami is 1053401281. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Anil Swami located?

Anil Swami practices at 1950 E Wattles Rd Suite 102, Troy, MI 48085. The listed phone number is (248) 740-1558.

What is Anil Swami's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Anil Swami enrolled in Medicare?

Yes. Anil Swami 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 Anil Swami accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Anil Swami 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 Anil Swami affiliated with any hospitals?

According to CMS data, Anil Swami is affiliated with Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Anil Swami was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.