SWATHI PONNATHOTA M.D.
NPI 1437595527
Internal Medicine in Sacaton, AZ

Q: What is Swathi Ponnathota's NPI number?

The NPI number for Swathi Ponnathota is 1437595527. It was assigned to this individual provider in the NPPES registry on May 15, 2013.

Q: What is Swathi Ponnathota's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Swathi Ponnathota was last updated on November 15, 2023. 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 May 15, 2013PECOS EnrolledAccepts Medicare Assignment

483 W SEED FARM RD, SACATON, AZ 85147(602) 528-1200(602) 528-1255 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2023, Apr 17, 2020, Jun 17, 2016 (3 updates tracked since 2016).

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About Swathi Ponnathota M.d. NPPES

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

SWATHI PONNATHOTA M.D. (NPI 1437595527) is an individual internal medicine provider in Sacaton, Arizona, licensed in Arizona (56428) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Adventist Health Castle, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1437595527

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSWATHI PONNATHOTACredential: M.D.

Location Address483 W SEED FARM RDSacaton, AZ 85147-5000

Mailing Address483 W Seed Farm RdSacaton, AZ 85147-5000 · (602) 528-1200 · Fax (602) 528-1255

Phone(602) 528-1200

Fax(602) 528-1255

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMay 15, 2013

Last NPPES UpdateNovember 15, 20233 updates tracked since enumeration

NPPES CertifiedNovember 15, 2023

✔ NPI 1437595527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · 56428

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

483 W SEED FARM RD, Sacaton, AZ 85147

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Swathi Ponnathota 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 ID941594360

PECOS Enrollment IDI20250109003872

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.

Areas of Expertise CMS Part B claims 2

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.

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.

93 services53 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.

23 services19 patients

Hospital Affiliations CMS Care Compare

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

Adventist Health Castle

Acute Care Hospitals · Kailua, HI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number120006

Location640 Ulukahiki StKailua, HI 96734 · Honolulu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85147 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers34 claims79 services$5.95 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers15 claims16 services$0.85 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers13 claims75 services$12.45 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers15 claims15 services$41.62 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers16 claims96 services$1.73 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers17 claims17 services$16.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DEVI SEPPERUMAL

Dietitian, Registered