DR. SWAPNA GUDIPATI M.D.
NPI 1407387152
Internal Medicine - Interventional Cardiology in Chicago, IL

Q: What is Swapna Gudipati's NPI number?

The NPI number for Swapna Gudipati is 1407387152. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Q: What is Swapna Gudipati's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Swapna Gudipati was last updated on August 23, 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.

Active since March 24, 2017PECOS EnrolledAccepts Medicare Assignment

2222 W DIVISION ST STE 100, CHICAGO, IL 60622(773) 326-2244(773) 342-3344 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2024, Jun 26, 2024, Jun 20, 2024 and 2 more (5 updates tracked since 2017).

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About Dr. Swapna Gudipati M.d. NPPES

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

DR. SWAPNA GUDIPATI M.D. (NPI 1407387152) is an individual interventional cardiology provider in Chicago, Illinois, licensed in Illinois (036171686) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and is a graduate of Central Michigan College Of Medicine (2017).

NPPES Registry Identity

NPI1407387152

Entity TypeIndividualFemale

Primary Taxonomy207RI0011X

Provider Legal NameDR. SWAPNA GUDIPATICredential: M.D.

Location Address2222 W DIVISION ST STE 100Chicago, IL 60622-3093

Mailing Address2233 W Division StChicago, IL 60622-8151

Phone(773) 326-2244

Fax(773) 342-3344

Sole ProprietorYes

Medical School CMSCentral Michigan College Of MedicineGraduated 2017

Enumeration DateMarch 24, 2017

Last NPPES UpdateAugust 23, 20245 updates tracked since enumeration

NPPES CertifiedAugust 23, 2024

✔ NPI 1407387152 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 IL · 036171686

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 Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 4301502289 (MI), 036171686 (IL)

2222 W DIVISION ST STE 100, Chicago, IL 60622

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Swapna Gudipati 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 ID2062784127

PECOS Enrollment IDI20240905001679

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

Prime Healthcare Illinois Medical Group LLC

13 mi

Multi-Specialty

2380 E DEMPSTER ST
Des Plaines, IL 60016

Reassigned Medicare billing, Illinois enrollment
443 clinicians in this Medicare group

NPI 1023837689 (833) 291-0464

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 7

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.

183 services146 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.

77 services33 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.

51 services49 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.

40 services37 patients

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.

34 services20 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140080

Location355 Ridge AveEvanston, IL 60202 · Cook County

Emergency services

Presence Saints Mary And Elizabeth Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140180

Location2233 W Division StChicago, IL 60622 · Cook County

Emergency services Birthing friendly

Humboldt Park Health

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140206

Location1044 N Francisco AveChicago, IL 60622 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60622 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 2

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

DR. RISHI PANDYA

Internal Medicine (Interventional Cardiology)

2222 W DIVISION ST STE 100
CHICAGO, IL 60622

Cook County (773) 326-2244

OMAR MARWAN HAMOUI MD

Internal Medicine (Cardiovascular Disease)

2222 W DIVISION ST STE 100
CHICAGO, IL 60622

Cook County (773) 326-2244

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 Swapna Gudipati's NPI number?

The NPI number for Swapna Gudipati is 1407387152. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Swapna Gudipati located?

Swapna Gudipati practices at 2222 W Division St Ste 100, Chicago, IL 60622. The listed phone number is (773) 326-2244.

What is Swapna Gudipati's specialty?

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

Is Swapna Gudipati enrolled in Medicare?

Yes. Swapna Gudipati 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 Swapna Gudipati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swapna Gudipati reassigns Medicare benefits to Prime Healthcare Illinois Medical Group LLC (Des Plaines, IL). 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 Swapna Gudipati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Swapna Gudipati accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Swapna Gudipati 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 Swapna Gudipati affiliated with any hospitals?

According to CMS data, Swapna Gudipati is affiliated with Presence Saint Francis Hospital, Presence Saints Mary And Elizabeth Medical Center and Humboldt Park Health.

When was this NPI record last updated?

The NPPES record for Swapna Gudipati was last updated on August 23, 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.