ADITI SWAMI M.D.
NPI 1386851566
Internal Medicine - Infectious Disease in Sherman, TX

Q: What is Aditi Swami's NPI number?

The NPI number for Aditi Swami is 1386851566. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Aditi Swami's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Aditi Swami was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment

91.6/100

CMS Quality Rating

2600 N US HIGHWAY 75, SUITE 120, SHERMAN, TX 75090(903) 416-6385(903) 416-1737 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Aditi Swami M.d. NPPES

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

ADITI SWAMI M.D. (NPI 1386851566) is an individual infectious disease provider in Sherman, Texas, licensed in Texas (N6701) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Alliancehealth Durant, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1386851566

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameADITI SWAMICredential: M.D.

Location Address2600 N US HIGHWAY 75, SUITE 120Sherman, TX 75090-0500

Mailing AddressPo Box 468Shannon, AL 35142-0468 · (888) 212-4243 · Fax (903) 416-1737

Phone(903) 416-6385

Fax(903) 416-1737

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateMay 17, 2007

Last NPPES UpdateMay 15, 2025

NPPES CertifiedMay 15, 2025

✔ NPI 1386851566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in TX · N6701

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

2600 N US HIGHWAY 75, Sherman, TX 75090

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Aditi Swami 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 ID9739237215

PECOS Enrollment IDI20110624000053

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 Aditi Swami reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aditi Swami PA

Same address

Infectious Disease

2600 N US HIGHWAY 75, SUITE 120
Sherman, TX 75090

Reassigned Medicare billing, Texas enrollment

NPI 1881947026 (903) 416-6385

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 12

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

4,184 services673 patients

Injection, vancomycin hcl, 500 mg J3370

Vancomycin HCL is an antibiotic used to treat severe infections caused by certain types of bacteria. The 500 mg dose is typically administered via injection by a healthcare professional to fight the infection effectively.

1,118 services13 patients

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.

840 services304 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

707 services588 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.

637 services427 patients

Refilling and maintenance of portable pump 96521

Refilling and maintenance of a portable pump involves replenishing the medication contained within the pump and ensuring its functionality. This process includes checking battery life, inspecting for damages, and cleaning the device for optimal performance. It's essential to maintain a clean, functional pump for effective treatment.

317 services23 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

254 services15 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.

234 services139 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

226 services186 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

61 services61 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

31 services31 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

15 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Alliancehealth Durant

Acute Care Hospitals · Durant, OK

1/5 CMS rating

OwnershipProprietary

CMS Certification Number370014

Location1800 University BoulevardDurant, OK 74702 · Bryan County

Emergency services Birthing friendly

Texoma Medical Center

Acute Care Hospitals · Denison, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450324

Location5016 S Us Highway 75Denison, TX 75020 · Grayson County

Emergency services Birthing friendly

Tmc- Bonham Hospital

Critical Access Hospitals · Bonham, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451370

Location504 Lipscomb StreetBonham, TX 75418 · Fannin County

Emergency services

Baylor Scott And White Surgical Hospital At Sherma

Acute Care Hospitals · Sherman, TX

2/5 CMS rating

OwnershipPhysician

CMS Certification Number670076

Location3601 Calais DriveSherman, TX 75090 · Grayson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75090 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

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.

91.6/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Promoting Interoperability

Improvement Activities

Cost

51.2

Reported Quality Measures

Advance Care Plan

99%594 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

99%3,239 patients4/55-star benchmark: 100%

e-Prescribing

98%316 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%587 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%1,133 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

53%3,203 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 65% · 686 patients

Patients screened: 66% · 686 patients

99%102 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

96%425 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

ADITI SWAMI PA

Internal Medicine (Infectious Disease)

2600 N US HIGHWAY 75, SUITE 120
SHERMAN, TX 75090

Grayson County (903) 416-6385

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 Aditi Swami's NPI number?

The NPI number for Aditi Swami is 1386851566. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Aditi Swami located?

Aditi Swami practices at 2600 N Us Highway 75 Suite 120, Sherman, TX 75090. The listed phone number is (903) 416-6385.

What is Aditi Swami's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Aditi Swami enrolled in Medicare?

Yes. Aditi Swami 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 organization bills Medicare for Aditi Swami's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aditi Swami reassigns Medicare benefits to Aditi Swami PA (Sherman, TX). 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 Aditi Swami's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aditi Swami accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Aditi Swami 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 Aditi Swami affiliated with any hospitals?

According to CMS data, Aditi Swami is affiliated with Alliancehealth Durant, Texoma Medical Center, Tmc- Bonham Hospital and Baylor Scott And White Surgical Hospital At Sherma.

When was this NPI record last updated?

The NPPES record for Aditi Swami was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.