VISHAL BALASUBRAMANIAN SWAMINATHAN
NPI 1578211355
Ophthalmology in Madison, WI
About Vishal Balasubramanian Swaminathan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISHAL BALASUBRAMANIAN SWAMINATHAN (NPI 1578211355) is an individual ophthalmology provider in Madison, Wisconsin, licensed in Wisconsin (87113-20) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains a secondary practice location in Rochester.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Vishal Balasubramanian Swaminathan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Vishal Swaminathan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Rochester, MN 55905
- Reassigned Medicare billing, Minnesota enrollment
- 6,534 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic Hospital Rochester
Acute Care Hospitals · Rochester, MNUniversity Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MADISON, WI 53705
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 Vishal Swaminathan's NPI number?
The NPI number for Vishal Swaminathan is 1578211355. It was assigned to this individual provider in the NPPES registry on March 11, 2022.
Where is Vishal Swaminathan located?
Vishal Swaminathan practices at 2880 University Ave, Madison, WI 53705. The listed phone number is (608) 916-2020.
What is Vishal Swaminathan's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Vishal Swaminathan enrolled in Medicare?
Yes. Vishal Swaminathan 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 organizations bill Medicare for Vishal Swaminathan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vishal Swaminathan reassigns Medicare benefits to 2 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI) and Mayo Clinic (Rochester, MN). Each 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 Vishal Swaminathan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vishal Swaminathan accept?
Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and HealthPartners list Vishal Swaminathan 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 Vishal Swaminathan affiliated with any hospitals?
According to CMS data, Vishal Swaminathan is affiliated with Mayo Clinic Hospital Rochester and University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Vishal Swaminathan was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Vishal Balasubramanian Swaminathan · NPI 1578211355
Ophthalmology physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since March 11, 2022.
## Identity
- **NPI:** 1578211355 (Entity type: Individual)
- **Enumerated:** March 11, 2022
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 87113-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2880 UNIVERSITY AVE, Madison, WI 53705-3644
- **Phone:** (608) 916-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI); Mayo Clinic (NPI 1114343860, Rochester, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1578211355) · Data from the CMS NPPES public registry.