DR. SWETHA K. RAMAKRISHNAN M.D.
NPI 1427234244
Surgery in Atlanta, GA

Q: What is Swetha Ramakrishnan's NPI number?

The NPI number for Swetha Ramakrishnan is 1427234244. It was assigned to this individual provider in the NPPES registry on January 10, 2008.

Q: What is Swetha Ramakrishnan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since January 10, 2008PECOS EnrolledAccepts Medicare Assignment

86.46/100

CMS Quality Rating

95 COLLIER RD NW, SUITE 4025, ATLANTA, GA 30309(404) 671-4094 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Swetha K. Ramakrishnan M.d. NPPES

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

DR. SWETHA K. RAMAKRISHNAN M.D. (NPI 1427234244) is an individual surgery provider in Atlanta, Georgia, licensed in Georgia (73465) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2007).

NPPES Registry Identity

NPI1427234244

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. SWETHA K. RAMAKRISHNANCredential: M.D.

Location Address95 COLLIER RD NW, SUITE 4025Atlanta, GA 30309-1796

Mailing Address95 Collier Rd Nw, Suite 4025Atlanta, GA 30309-1796 · (404) 671-4094

Phone(404) 671-4094

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2007

Enumeration DateJanuary 10, 2008

Last NPPES UpdateAugust 26, 2015

✔ NPI 1427234244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in GA · 73465

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

95 COLLIER RD NW, Atlanta, GA 30309

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Dr. Swetha K. Ramakrishnan 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 ID6800017963

PECOS Enrollment IDI20151112001041

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

Atl Colorectal Surgery

1.0 mi

Colon & Rectal Surgery

95 COLLIER RD NW, SUITE 4025
Atlanta, GA 30309

Reassigned Medicare billing, Georgia enrollment
4 clinicians in this Medicare group

NPI 1316146483 (404) 574-5820

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 11

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.

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

88 services85 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.

43 services43 patients

Test for tone and sensation of rectum and anus 91120

This procedure checks the health of the lower digestive tract. The doctor gently examines the area to assess its muscle strength and sensitivity. This helps in detecting any abnormal conditions. It's a standard, safe procedure with minimal discomfort.

35 services35 patients

Study of rectum sensitivity and function 91122

This procedure examines the rectum's sensitivity and functionality. It involves a small, soft balloon inserted into the rectum and inflated to various degrees. The goal is to assess how well your rectum can sense and respond to different volumes. It's a crucial test for diagnosing certain digestive issues.

35 services35 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.

32 services32 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

30 services30 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.

30 services13 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.

29 services29 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.

25 services23 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

21 services21 patients

Biopsy of anus with magnification and chemical agent enhancement using an endoscope 46607

A biopsy of the anus with magnification and chemical enhancement using an endoscope is a procedure where a small sample of tissue is taken from the anal area for examination. This is done using a special instrument called an endoscope, which allows for a detailed view. A chemical agent is used to highlight any unusual areas.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110083

Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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.

86.46/100

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

Scored as part of a group practice

Quality

87.22

Promoting Interoperability

100

Improvement Activities

Cost

67.65

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

98%83 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

82%94 patients4/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

99%73 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.

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.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers17 claims400 services$4.93 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

1 supplier18 claims275 services$4.76 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.

HAROLD D. CARLSON MD

Internal Medicine (Interventional Cardiology)

95 COLLIER RD NW, SUITE 2065
ATLANTA, GA 30309

Fulton County (404) 605-2800

DAVID FRANCIS MELDRUM L.D.O.

Technician/Technologist (Optician)

95 COLLIER RD NW, SUITE 3000
ATLANTA, GA 30309

Fulton County (404) 351-2220

DR. THOMAS S CLAIBORNE JR. M.D.

Internal Medicine (Gastroenterology)

95 COLLIER RD NW, SUITE 4055
ATLANTA, GA 30309

Fulton County (404) 355-3200

DR. ERIC LOUIS SCEUSI MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

95 COLLIER RD NW, SUITE 2055
ATLANTA, GA 30309

Fulton County (404) 605-5699

JENINA PEREZ LAGASCA NP

Nurse Practitioner (Adult Health)

95 COLLIER RD NW, SUITE 5015
ATLANTA, GA 30309

Fulton County (404) 605-5699

IRIS MONTILLA-AFRIYE

Registered Nurse

95 COLLIER RD NW
ATLANTA, GA 30309

Fulton County (646) 228-2601

ARUN KRISHNAMOORTHY MD

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

95 COLLIER RD NW, SUITE 3000
ATLANTA, GA 30309

Fulton County (404) 605-5140

DR. KEVIN MICHAEL MCGILL M.D.

Surgery

95 COLLIER RD NW, SUITE 6015
ATLANTA, GA 30309

Fulton County (404) 351-5959

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 Ramakrishnan's NPI number?

The NPI number for Swetha Ramakrishnan is 1427234244. It was assigned to this individual provider in the NPPES registry on January 10, 2008.

Where is Swetha Ramakrishnan located?

Swetha Ramakrishnan practices at 95 Collier Rd NW Suite 4025, Atlanta, GA 30309. The listed phone number is (404) 671-4094.

What is Swetha Ramakrishnan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Swetha Ramakrishnan enrolled in Medicare?

Yes. Swetha Ramakrishnan 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 Swetha Ramakrishnan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swetha Ramakrishnan reassigns Medicare benefits to Atl Colorectal Surgery (Atlanta, GA). 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 Swetha Ramakrishnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Swetha Ramakrishnan accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Swetha Ramakrishnan 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 Ramakrishnan affiliated with any hospitals?

According to CMS data, Swetha Ramakrishnan is affiliated with Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for Swetha Ramakrishnan was last updated on August 26, 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.