DR. SWATI SHARMA KUMAR MBBS
NPI 1548464118
Internal Medicine - Rheumatology in Lufkin, TX

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
409 GASLIGHT BLVD, LUFKIN, TX 75904(936) 634-4422(936) 634-4424 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Swati Sharma Kumar Mbbs NPPES

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

DR. SWATI SHARMA KUMAR MBBS (NPI 1548464118) is an individual rheumatology provider in Lufkin, Texas, licensed in Texas (M9434) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Chi St Lukes Health Memorial Lufkin, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1548464118
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. SWATI SHARMA KUMARCredential: MBBS
Location Address409 GASLIGHT BLVDLufkin, TX 75904-3132
Mailing AddressPo Box 155838Lufkin, TX 75915-5838 · (936) 634-4422 · Fax (936) 634-4424
Fax(936) 634-4424
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJune 14, 2007
Last NPPES UpdateAugust 15, 2014
NPI 1548464118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TX · M9434
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
409 GASLIGHT BLVD, Lufkin, TX 75904

Other Identifiers 1

Medicare PIN356203ZHHVTX

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

Dr. Swati Sharma Kumar Mbbs 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 ID4688738883
PECOS Enrollment IDI20090203000528
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 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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
44,800 services15 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
8,340 services77 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
7,980 services12 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.
647 services321 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
396 services79 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
383 services104 patients

Hospital Affiliations CMS Care Compare 4

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

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

Chi St Lukes Health Memorial Livingston

Acute Care Hospitals · Livingston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450395
Location1717 Hwy 59 BypassLivingston, TX 77351 · Polk County
Emergency services Birthing friendly

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Christus Jasper Memorial Hospital

Acute Care Hospitals · Jasper, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450573
Location1275 Marvin Hancock DriveJasper, TX 75951 · Jasper County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
100%2,198 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%952 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
100%889 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%830 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 716 patients
Patients screened: 100% · 716 patients
100%62 patients5/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity
100%281 patients5/55-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 7

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

Internal Medicine (Rheumatology)
409 GASLIGHT BLVD
LUFKIN, TX 75904
Nurse Practitioner (Family)
409 GASLIGHT BLVD
LUFKIN, TX 75904
Specialist
409 GASLIGHT BLVD
LUFKIN, TX 75904
Specialist
409 GASLIGHT BLVD, SUITE 303
LUFKIN, TX 75904
Nurse Practitioner (Family)
409 GASLIGHT BLVD
LUFKIN, TX 75904
Nurse Practitioner (Family)
409 GASLIGHT BLVD
LUFKIN, TX 75904
Internal Medicine (Nephrology)
409 GASLIGHT BLVD
LUFKIN, TX 75904

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 Kumar's NPI number?

The NPI number for Swati Kumar is 1548464118. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Swati Kumar located?

Swati Kumar practices at 409 Gaslight Blvd, Lufkin, TX 75904. The listed phone number is (936) 634-4422.

What is Swati Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Swati Kumar enrolled in Medicare?

Yes. Swati Kumar 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.

Is Swati Kumar affiliated with any hospitals?

According to CMS data, Swati Kumar is affiliated with Chi St Lukes Health Memorial Lufkin, Chi St Lukes Health Memorial Livingston, Woodland Heights Medical Center and Christus Jasper Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Swati Kumar was last updated on August 15, 2014. 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.