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RITA D SWINFORD M.D.
NPI 1124063227
Pediatrics - Pediatric Nephrology in Houston, TX

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6410 FANNIN ST, 500, HOUSTON, TX 77030(832) 325-7111(713) 500-5711 Get Directions Write a Review

NPPES record last updated: September 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rita D Swinford M.d. NPPES

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

RITA D SWINFORD M.D. (NPI 1124063227) is an individual pediatric nephrology provider in Houston, Texas, licensed in Texas (K6355) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1124063227
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameRITA D SWINFORDCredential: M.D.
Location Address6410 FANNIN ST, 500Houston, TX 77030-3000
Mailing AddressPo Box 301173Dallas, TX 75303-1173 · (713) 500-3500
Phone(832) 325-7111
Fax(713) 500-5711
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 20, 2006
Last NPPES UpdateSeptember 12, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1124063227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in TX · K6355
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedPediatricsTaxonomy 208000000X · License K6355 (TX)
6410 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 5

Medicaid129264103TX
Other85711FTX · Bcbs
Medicaid129264107TX
Medicaid129264106TX
Other129264102TX · Cshcn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Rita D Swinford 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 ID1658497995
PECOS Enrollment IDI20100924000019
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

2

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

Ut Physicians
Same address
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325
Physicians Referral Service
0.5 mi
Multi-Specialty
1515 HOLCOMBE BLVD
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,675 clinicians in this Medicare group
NPI 1073574810 (713) 792-6161

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

Hospital Affiliations CMS Care Compare

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers17 claims1,890 services$0.36 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers18 claims2,700 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims1,290 services$0.93 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers26 claims26 services$18.26 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers21 claims28 services$11.76 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 20

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

DR. JYOTHSNA GATTINENI M.D.
Pediatrics (Pediatric Nephrology)
6410 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 325-6516
EUGENIO A AGUILAR III MD PA
Clinic/Center (Ambulatory Surgical)
6410 FANNIN ST, SUITE 927
HOUSTON, TX 77030
Harris County (713) 797-0085
BELANIE G PEAVY ACNP
Nurse Practitioner (Acute Care)
6410 FANNIN ST, SUITE 1400
HOUSTON, TX 77030
Harris County (832) 325-7125
DR. NIVEDITA THAKUR M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6410 FANNIN ST, UTPB 732
HOUSTON, TX 77030
Harris County (713) 500-7113
AMBER CHEN-GOODSPEED
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 462-3983
OLASUNKANMI ADEYINKA M.D.
Family Medicine
6410 FANNIN ST, 250
HOUSTON, TX 77030
Harris County (832) 325-6500
KEVIN P LALLY M.D.
Surgery (Pediatric Surgery)
6410 FANNIN ST, 1400
HOUSTON, TX 77030
Harris County (832) 325-7234
DIANE M NOVY PH.D.
Psychologist
6410 FANNIN ST, 230
HOUSTON, TX 77030
Harris County (713) 704-3961

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 Rita Swinford's NPI number?

The NPI number for Rita Swinford is 1124063227. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Rita Swinford located?

Rita Swinford practices at 6410 Fannin St 500, Houston, TX 77030. The listed phone number is (832) 325-7111.

What is Rita Swinford's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Rita Swinford enrolled in Medicare?

Yes. Rita Swinford 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.

Which organizations bill Medicare for Rita Swinford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rita Swinford reassigns Medicare benefits to 2 organizations: Ut Physicians (Houston, TX) and Physicians Referral Service (Houston, TX). 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 Rita Swinford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rita Swinford accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Rita Swinford 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 Rita Swinford affiliated with any hospitals?

According to CMS data, Rita Swinford is affiliated with Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Rita Swinford was last updated on September 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.