SWAPNA GHATTAMANENI MD
NPI 1063648277
Hospitalist in San Antonio, TX

Active since June 02, 2009PECOS EnrolledAccepts Medicare Assignment
530 SAN PEDRO AVE, SAN ANTONIO, TX 78212(210) 225-4511(210) 225-4514 Get Directions Write a Review

NPPES record last updated: March 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 14, 2019, Aug 25, 2017 (2 updates tracked since 2017).

About Swapna Ghattamaneni Md NPPES

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

SWAPNA GHATTAMANENI MD (NPI 1063648277) is an individual hospitalist provider in San Antonio, Texas, licensed in Texas (N2525) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1063648277
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSWAPNA GHATTAMANENICredential: MD
Location Address530 SAN PEDRO AVESan Antonio, TX 78212-5006
Mailing Address2961 MossrockSan Antonio, TX 78230-5119 · (210) 731-4800 · Fax (210) 731-4810
Fax(210) 225-4514
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 2, 2009
Last NPPES UpdateMarch 14, 20192 updates tracked since enumeration
NPI 1063648277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · N2525
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License N2525 (TX)
530 SAN PEDRO AVE, San Antonio, TX 78212

Accepted 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

Swapna Ghattamaneni 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 ID9638229636
PECOS Enrollment IDI20090612000537
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
2,078 services494 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
393 services357 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
292 services128 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
259 services240 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
52 services33 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Fort Duncan Medical Center

Acute Care Hospitals · Eagle Pass, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450092
Location3333 N Foster Maldonado BlvdEagle Pass, TX 78852 · Maverick County
Emergency services Birthing friendly

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450237
Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78212 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers11 claims11 services$17.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers36 claims36 services$70.21 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$30.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

Hospitalist
530 SAN PEDRO AVE
SAN ANTONIO, TX 78212
Family Medicine
530 SAN PEDRO AVE
SAN ANTONIO, TX 78212
Clinic/Center (Mental Health (Including Community Mental Health Center))
530 SAN PEDRO AVE
SAN ANTONIO, TX 78212
Family Medicine
530 SAN PEDRO AVE
SAN ANTONIO, TX 78212
Counselor (Mental Health)
530 SAN PEDRO AVE
SAN ANTONIO, TX 78212
Internal Medicine
530 SAN PEDRO AVE
SAN ANTONIO, TX 78212
Family Medicine
530 SAN PEDRO AVE
SAN ANTONIO, TX 78212
Physician Assistant
530 SAN PEDRO AVE
SAN ANTONIO, TX 78212

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 Swapna Ghattamaneni's NPI number?

The NPI number for Swapna Ghattamaneni is 1063648277. It was assigned to this individual provider in the NPPES registry on June 2, 2009.

Where is Swapna Ghattamaneni located?

Swapna Ghattamaneni practices at 530 San Pedro Ave, San Antonio, TX 78212. The listed phone number is (210) 225-4511.

What is Swapna Ghattamaneni's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Swapna Ghattamaneni enrolled in Medicare?

Yes. Swapna Ghattamaneni 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 Swapna Ghattamaneni accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Swapna Ghattamaneni 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 Swapna Ghattamaneni affiliated with any hospitals?

According to CMS data, Swapna Ghattamaneni is affiliated with Baptist Medical Center, Fort Duncan Medical Center, Christus Santa Rosa Medical Center and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Swapna Ghattamaneni was last updated on March 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.