SWETHA PATHI
NPI 1366700601
Family Medicine in San Antonio, TX

Active since April 24, 2012PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
903 W MARTIN ST # MS 49-2, SAN ANTONIO, TX 78207(201) 358-8145 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Swetha Pathi NPPES

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

SWETHA PATHI (NPI 1366700601) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (Q5063) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with University Health System, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1366700601
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSWETHA PATHI
Location Address903 W MARTIN ST # MS 49-2San Antonio, TX 78207-0903
Mailing AddressPo Box 87San Antonio, TX 78291-0087 · (210) 358-9172 · Fax (210) 358-9183
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 24, 2012
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1366700601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · Q5063
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.
903 W MARTIN ST # MS 49-2, San Antonio, TX 78207

Other Names 1

Former Name (1)Swetha Diwakar Maddala

Secondary Practice Location 1

Location 11055 Ada StSan Antonio, TX 78223-1703 · Phone (210) 358-5515 · Fax (210) 358-5530

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

Swetha Pathi 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 ID7416265913
PECOS Enrollment IDI20151002001256
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services64 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.
32 services32 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
1 supplier534 claims3,045 services$214.28 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
1 supplier118 claims118 services$210.76 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.

Nurse Practitioner (Pediatrics)
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Nurse Practitioner (Family)
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Pediatrics
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Family Medicine
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Family Medicine
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Nurse Practitioner (Family)
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Internal Medicine (Gastroenterology)
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Family Medicine
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207

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 Pathi's NPI number?

The NPI number for Swetha Pathi is 1366700601. It was assigned to this individual provider in the NPPES registry on April 24, 2012. The provider is also known as Swetha Diwakar Maddala.

Where is Swetha Pathi located?

Swetha Pathi practices at 903 W Martin St # Ms 49-2, San Antonio, TX 78207. The listed phone number is (201) 358-8145.

What is Swetha Pathi's specialty?

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

Is Swetha Pathi enrolled in Medicare?

Yes. Swetha Pathi 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 Swetha Pathi accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and WellPoint list Swetha Pathi 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 Swetha Pathi affiliated with any hospitals?

According to CMS data, Swetha Pathi is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Swetha Pathi was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.