Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SWETHA PRIYADARSHAN MD
NPI 1306418223
Internal Medicine - Endocrinology, Diabetes & Metabolism in Livingston, CA

Active since July 12, 2021PECOS Enrolled
517 MAIN ST, LIVINGSTON, CA 95334(209) 445-2388 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Apr 9, 2026, Jun 18, 2024 and 2 more (5 updates tracked since 2021).

About Swetha Priyadarshan Md NPPES

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

SWETHA PRIYADARSHAN MD (NPI 1306418223) is an individual endocrinology, diabetes & metabolism provider in Livingston, California, licensed in California (A206735) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306418223
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSWETHA PRIYADARSHANCredential: MD
Location Address517 MAIN STLivingston, CA 95334-1427
Mailing Address5200 Pirrone CtSalida, CA 95368-9094
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 12, 2021
Last NPPES UpdateOctober 5, 20265 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1306418223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · A206735
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
517 MAIN ST, Livingston, CA 95334

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Swetha Priyadarshan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739570003
PECOS Enrollment IDI20260622003329
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 Reassignment

Medicare enrollment records show Swetha Priyadarshan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
554 5TH ST
Gustine, CA 95322
  • Reassigned Medicare billing, California enrollment
  • 179 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95334 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Swetha Priyadarshan's NPI number?

The NPI number for Swetha Priyadarshan is 1306418223. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Swetha Priyadarshan located?

Swetha Priyadarshan practices at 517 Main St, Livingston, CA 95334. The listed phone number is (209) 445-2388.

What is Swetha Priyadarshan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Swetha Priyadarshan enrolled in Medicare?

Yes. Swetha Priyadarshan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Swetha Priyadarshan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swetha Priyadarshan reassigns Medicare benefits to Community Health Centers Of America (Gustine, CA). The 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 Swetha Priyadarshan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Swetha Priyadarshan was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.