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DR. SWETABEN PATIDAR MD
NPI 1144750258
Internal Medicine in St Petersburg, FL

Active since June 13, 2017PECOS EnrolledAccepts Medicare Assignment
4820 5TH AVE N, ST PETERSBURG, FL 33713(727) 321-6768(727) 327-8741 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2021, Nov 16, 2020, Oct 21, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Swetaben Patidar Md NPPES

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

DR. SWETABEN PATIDAR MD (NPI 1144750258) is an individual internal medicine provider in St Petersburg, Florida, licensed in Florida (ME146933) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Pasadena Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1144750258
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SWETABEN PATIDARCredential: MD
Location Address4820 5TH AVE NSt Petersburg, FL 33713-7218
Mailing Address5260 78th Ave N Unit 2616Pinellas Park, FL 33780-8106 · (727) 321-6768 · Fax (727) 327-8741
Phone(727) 321-6768
Fax(727) 327-8741
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 13, 2017
Last NPPES UpdateNovember 30, 20214 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1144750258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME146933
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4820 5TH AVE N, St Petersburg, FL 33713
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Dr. Swetaben Patidar 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 ID5092127225
PECOS Enrollment IDI20201215000029
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 8

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 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.
407 services157 patients
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.
389 services144 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.
262 services218 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.
151 services132 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
103 services96 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.
31 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Pasadena Hospital

Acute Care Hospitals · Saint Petersburg, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100126
Location1501 Pasadena Ave SSaint Petersburg, FL 33707 · Pinellas County
Emergency services

Hca Florida St Petersburg Hospital

Acute Care Hospitals · Saint Petersburg, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100180
Location6500 38th Ave NSaint Petersburg, FL 33710 · Pinellas County
Emergency services Birthing friendly

Hca Florida Northside Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100238
Location6000 49th St NSaint Petersburg, FL 33709 · Pinellas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33713 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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
5 suppliers30 claims30 services$13.91 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
5 suppliers40 claims40 services$65.81 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers23 claims27 services$199.07 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 9

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

GOVINDAN P NAIR MD PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4820 5TH AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 321-6768
SUNERGY PHYSICIANS LLC
Internal Medicine
4820 5TH AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 280-5767
ARVIND R PARBHOO MD PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4820 5TH AVE N
SAINT PETERSBURG, FL 33713
Pinellas County (727) 528-1138
DR. ROSMERY VICTORIA D.O.
Family Medicine
4820 5TH AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 321-6768
ENDOCRINOLOGY CONSULTANTS OF ST. PETERSBURG
Specialist
4820 5TH AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 321-6768
RISHI PATEL DO
Family Medicine (Adult Medicine)
4820 5TH AVE N
SAINT PETERSBURG, FL 33713
Pinellas County (727) 321-6768
DR. ARVIND RAMA PARBHOO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4820 5TH AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 528-1138
AURINDOM NARAYAN MD PA
Internal Medicine
4820 5TH AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 321-6768

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 Swetaben Patidar's NPI number?

The NPI number for Swetaben Patidar is 1144750258. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Swetaben Patidar located?

Swetaben Patidar practices at 4820 5th Ave N, St Petersburg, FL 33713. The listed phone number is (727) 321-6768.

What is Swetaben Patidar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Swetaben Patidar enrolled in Medicare?

Yes. Swetaben Patidar 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 Swetaben Patidar accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Swetaben Patidar 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 Swetaben Patidar affiliated with any hospitals?

According to CMS data, Swetaben Patidar is affiliated with Hca Florida Pasadena Hospital, Hca Florida St Petersburg Hospital and Hca Florida Northside Hospital.

When was this NPI record last updated?

The NPPES record for Swetaben Patidar was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.