SWATHI RATKAL MBBS
NPI 1376928150
Student in an Organized Health Care Education/Training Program in New Hyde Park, NY

Active since July 22, 2015PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
6 OHIO DR STE 202, NEW HYDE PARK, NY 11042(516) 304-7295 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Swathi Ratkal Mbbs NPPES

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

SWATHI RATKAL MBBS (NPI 1376928150) is an individual student in an organized health care education/training program in New Hyde Park, New York and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1376928150
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSWATHI RATKALCredential: MBBS
Location Address6 OHIO DR STE 202New Hyde Park, NY 11042-1129
Mailing Address6 Ohio Dr Ste 202New Hyde Park, NY 11042-1129 · (516) 304-7295
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 22, 2015
✔ NPI 1376928150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6 OHIO DR STE 202, New Hyde Park, NY 11042

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Swathi Ratkal Mbbs 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 ID3476802927
PECOS Enrollment IDI20180816003184
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 Reassignments

2

Medicare enrollment records show Swathi Ratkal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
161 HEMPSTEAD TPKE
Elmont, NY 11003
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Nassau Health Care Corporation
  • 553 clinicians in this Medicare group
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 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.

Areas of Expertise CMS Part B claims

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.

Blood bank physician services for cross match and/or evaluation and written report 86077
Blood bank physician services for cross match involve testing your blood against donor blood to ensure compatibility before a transfusion. The evaluation includes a detailed analysis of your blood type and antibodies. A written report will be provided, summarizing the findings.
140 services115 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Allergy & Immunology
6 OHIO DR STE 202
NEW HYDE PARK, NY 11042
Otolaryngology
6 OHIO DR STE 202
NEW HYDE PARK, NY 11042
Otolaryngology
6 OHIO DR STE 202
NEW HYDE PARK, NY 11042
Audiologist
6 OHIO DR STE 202
NEW HYDE PARK, NY 11042
Physician Assistant
6 OHIO DR STE 202
NEW HYDE PARK, NY 11042
Otolaryngology
6 OHIO DR STE 202
NEW HYDE PARK, NY 11042
Otolaryngology (Facial Plastic Surgery)
6 OHIO DR STE 202
NEW HYDE PARK, NY 11042
Pathology (Anatomic Pathology & Clinical Pathology)
6 OHIO DR STE 202
NEW HYDE PARK, NY 11042

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 Ratkal's NPI number?

The NPI number for Swathi Ratkal is 1376928150. It was assigned to this individual provider in the NPPES registry on July 22, 2015.

Where is Swathi Ratkal located?

Swathi Ratkal practices at 6 Ohio Dr Ste 202, New Hyde Park, NY 11042. The listed phone number is (516) 304-7295.

What is Swathi Ratkal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Swathi Ratkal enrolled in Medicare?

Yes. Swathi Ratkal 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.

Which organizations bill Medicare for Swathi Ratkal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swathi Ratkal reassigns Medicare benefits to 2 organizations: Elmont Community Health Center (Elmont, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). Each 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 Swathi Ratkal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Swathi Ratkal affiliated with any hospitals?

According to CMS data, Swathi Ratkal is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Swathi Ratkal was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.