POOJA MAHADEV SWAMY M.D.
NPI 1356570626
Internal Medicine - Interventional Cardiology in South Miami, FL

Active since July 08, 2009PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
6200 SUNSET DR STE 401, SOUTH MIAMI, FL 33143(305) 666-4633(305) 662-5754 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pooja Mahadev Swamy M.d. NPPES

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

POOJA MAHADEV SWAMY M.D. (NPI 1356570626) is an individual interventional cardiology provider in South Miami, Florida, licensed in Florida (ME176795) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Wayne State University School Of Medicine (2012).

NPPES Registry Identity

NPI1356570626
Entity TypeIndividualFemale
Primary Taxonomy207RI0011X
Provider Legal NamePOOJA MAHADEV SWAMYCredential: M.D.
Location Address6200 SUNSET DR STE 401South Miami, FL 33143-4829
Mailing Address6200 Sunset Dr Ste 401South Miami, FL 33143-4829 · (305) 666-4633 · Fax (305) 662-5754
Fax(305) 662-5754
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2012
Enumeration DateJuly 8, 2009
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
NPI 1356570626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in FL · ME176795
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME176795 (FL)
6200 SUNSET DR STE 401, South Miami, FL 33143

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

Pooja Mahadev Swamy 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 ID9032357678
PECOS Enrollment IDI20130521000420, I20250930000745
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 11

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
371 services305 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.
170 services101 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
71 services70 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.
66 services65 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
44 services40 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
43 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Interventional Cardiology)
6200 SUNSET DR STE 401
SOUTH MIAMI, FL 33143
Internal Medicine (Clinical Cardiac Electrophysiology)
6200 SUNSET DR STE 401
SOUTH MIAMI, FL 33143
Internal Medicine (Cardiovascular Disease)
6200 SUNSET DR STE 401
SOUTH MIAMI, FL 33143
Internal Medicine (Cardiovascular Disease)
6200 SUNSET DR STE 401
SOUTH MIAMI, FL 33143
Internal Medicine (Cardiovascular Disease)
6200 SUNSET DR STE 401
SOUTH MIAMI, FL 33143
Nurse Practitioner (Adult Health)
6200 SUNSET DR STE 401
SOUTH MIAMI, FL 33143
Internal Medicine (Interventional Cardiology)
6200 SUNSET DR STE 401
SOUTH MIAMI, FL 33143
Internal Medicine (Clinical Cardiac Electrophysiology)
6200 SUNSET DR STE 401
SOUTH MIAMI, FL 33143

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 Pooja Swamy's NPI number?

The NPI number for Pooja Swamy is 1356570626. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Pooja Swamy located?

Pooja Swamy practices at 6200 Sunset Dr Ste 401, South Miami, FL 33143. The listed phone number is (305) 666-4633.

What is Pooja Swamy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Pooja Swamy enrolled in Medicare?

Yes. Pooja Swamy 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 Pooja Swamy accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Pooja Swamy 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 Pooja Swamy affiliated with any hospitals?

According to CMS data, Pooja Swamy is affiliated with Baptist Hospital Of Miami and South Miami Hospital.

When was this NPI record last updated?

The NPPES record for Pooja Swamy was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.