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DR. SWATHI MOHANKUMAR MD
NPI 1174264501
Family Medicine in Ponte Vedra, FL

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment
400 COLONNADE DR STE 160, PONTE VEDRA, FL 32081(904) 824-1020(904) 390-7503 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Apr 7, 2022 (2 updates tracked since 2022).

About Dr. Swathi Mohankumar Md NPPES

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

DR. SWATHI MOHANKUMAR MD (NPI 1174264501) is an individual family medicine provider in Ponte Vedra, Florida, licensed in Florida (ME174565) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174264501
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SWATHI MOHANKUMARCredential: MD
Location Address400 COLONNADE DR STE 160Ponte Vedra, FL 32081-6236
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 824-1020
Fax(904) 390-7503
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 7, 2022
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1174264501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME174565
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.
400 COLONNADE DR STE 160, Ponte Vedra, FL 32081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, 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. Swathi Mohankumar 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 ID1759892466
PECOS Enrollment IDI20250618002039
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.

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32081 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 7

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

JOSHUA M HARRISON M.D.
Hospitalist
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 824-1020
ELIZABETH KEENAN MCQUAGGE APRN
Nurse Practitioner
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 824-1020
DR. ANGELA KAY STAPLETON-MACKENZIE M.D.
Family Medicine
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 824-1020
BAPTIST PRIMARY CARE, INC.
Family Medicine
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 824-1020
MR. ANDREW LOURENS APRN
Nurse Practitioner
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 824-1020
JAMES D MOORE MD
Family Medicine
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 248-1020
ROBERT KAWA D.O.
Family Medicine
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 824-1020

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 Swathi Mohankumar's NPI number?

The NPI number for Swathi Mohankumar is 1174264501. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Swathi Mohankumar located?

Swathi Mohankumar practices at 400 Colonnade Dr Ste 160, Ponte Vedra, FL 32081. The listed phone number is (904) 824-1020.

What is Swathi Mohankumar's specialty?

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

Is Swathi Mohankumar enrolled in Medicare?

Yes. Swathi Mohankumar 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 Swathi Mohankumar accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Swathi Mohankumar 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 Swathi Mohankumar affiliated with any hospitals?

According to CMS data, Swathi Mohankumar is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Swathi Mohankumar was last updated on July 2, 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.