DR. SWATI P RUSHI M.D
NPI 1386087906
Hospitalist in Doylestown, PA

Active since April 12, 2013PECOS EnrolledAccepts Medicare Assignment
595 W STATE ST, DOYLESTOWN, PA 18901(215) 345-2200 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Swati P Rushi M.d NPPES

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

DR. SWATI P RUSHI M.D (NPI 1386087906) is an individual hospitalist provider in Doylestown, Pennsylvania, licensed in Pennsylvania (MD489237) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386087906
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. SWATI P RUSHICredential: M.D
Location Address595 W STATE STDoylestown, PA 18901-2554
Mailing AddressPo Box 829641Philadelphia, PA 19182-9641 · (267) 370-5285 · Fax (215) 230-3725
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 12, 2013
Last NPPES UpdateJune 19, 2025
NPPES CertifiedJune 19, 2025
✔ NPI 1386087906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD489237
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License Q8787 (TX), MD489237 (PA)
595 W STATE ST, Doylestown, PA 18901

Accepted Insurance

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

Dr. Swati P Rushi 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 ID1658659586
PECOS Enrollment IDI20250516001895
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

3

Medicare enrollment records show Swati Rushi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Anatomic Pathology & Clinical Pathology
595 W STATE ST
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 268 clinicians in this Medicare group
Obstetrics & Gynecology
102 PROGRESS DR STE 202
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 192 clinicians in this Medicare group
Family Medicine
6435 S FM 549, STE 201
Heath, TX 75032
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
130 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services17 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18901 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

Radiology (Vascular & Interventional Radiology)
595 W STATE ST, DOYLESTOWN RADIOLOGY ASSOCIATES
DOYLESTOWN, PA 18901
Radiology (Diagnostic Radiology)
595 W STATE ST
DOYLESTOWN, PA 18901
Registered Nurse (Critical Care Medicine)
595 W STATE ST
DOYLESTOWN, PA 18901
Anesthesiology
595 W STATE ST
DOYLESTOWN, PA 18901
Anesthesiology
595 W STATE ST
DOYLESTOWN, PA 18901
Nurse Anesthetist, Certified Registered
595 W STATE ST
DOYLESTOWN, PA 18901
Hospitalist
595 W STATE ST
DOYLESTOWN, PA 18901
Anesthesiology
595 W STATE ST
DOYLESTOWN, PA 18901

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 Swati Rushi's NPI number?

The NPI number for Swati Rushi is 1386087906. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is Swati Rushi located?

Swati Rushi practices at 595 W State St, Doylestown, PA 18901. The listed phone number is (215) 345-2200.

What is Swati Rushi's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Swati Rushi enrolled in Medicare?

Yes. Swati Rushi 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 Swati Rushi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swati Rushi reassigns Medicare benefits to 3 organizations: Via Affiliates (Doylestown, PA), Clinical Specialty Associates (Doylestown, PA) and Healthtexas Provider Network (Heath, TX). 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 Swati Rushi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Swati Rushi accept?

Health plans from Blue Cross and Blue Shield of Texas list Swati Rushi 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 Swati Rushi affiliated with any hospitals?

According to CMS data, Swati Rushi is affiliated with Hospital Of Univ Of Pennsylvania and Doylestown Hospital.

When was this NPI record last updated?

The NPPES record for Swati Rushi was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.