NITIKA KASWAN MD
NPI 1609032028
Internal Medicine in Saint Louis, MO

Active since August 05, 2008PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 257-8000(314) 577-8019 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2025, Jan 29, 2021 (2 updates tracked since 2021).

About Nitika Kaswan Md NPPES

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

NITIKA KASWAN MD (NPI 1609032028) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (2011016188) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1609032028
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNITIKA KASWANCredential: MD
Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1008 South Spring, Gim, 2nd FloorSaint Louis, MO 63110-2520 · (314) 257-8222 · Fax (314) 577-8019
Fax(314) 577-8019
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 5, 2008
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1609032028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2011016188
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.
Also ListedHospitalistTaxonomy 208M00000X · License 2011016188 (MO)
1201 S GRAND BLVD, Saint Louis, MO 63104

Secondary Practice Location 1

Location 110010 Kennerly RdSaint Louis, MO 63128-2106 · Phone (314) 525-1328

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

Nitika Kaswan Md 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 ID3375714215
PECOS Enrollment IDI20110926000153
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 Reassignments

6

Medicare enrollment records show Nitika Kaswan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
10010 KENNERLY RD, 3 SOUTHBRIDGE
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: St Anthonys Physician Organization Hospitalist Services Lc
  • 340 clinicians in this Medicare group
Internal Medicine
621 S NEW BALLAS RD, SUITE 3016-B
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 326 clinicians in this Medicare group
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 301 clinicians in this Medicare group
Critical Care Medicine
1015 BOWLES AVE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 255 clinicians in this Medicare group
Internal Medicine
1400 US HIGHWAY 61
Festus, MO 63028
  • Reassigned Medicare billing, Missouri enrollment
  • 299 clinicians in this Medicare group
Hospitalist
901 E 5TH ST
Washington, MO 63090
  • Reassigned Medicare billing, Missouri enrollment
  • 261 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 3

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.

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.
199 services95 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.
116 services70 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
55 services55 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Radiology (Diagnostic Radiology)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Physician Assistant
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Nitika Kaswan's NPI number?

The NPI number for Nitika Kaswan is 1609032028. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Nitika Kaswan located?

Nitika Kaswan practices at 1201 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 257-8000.

What is Nitika Kaswan's specialty?

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

Is Nitika Kaswan enrolled in Medicare?

Yes. Nitika Kaswan 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 Nitika Kaswan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nitika Kaswan reassigns Medicare benefits to 6 organizations: St Anthonys Physician Organization Hospitalist Services, L.C. (Saint Louis, MO), Mercy Clinic Adult Hospitalists - St. Louis, LLC (Saint Louis, MO), Sound Physicians Of Illinois, LLC (Bridgeton, MO), Cogent Healthcare Of Missouri, Inc (Fenton, MO), Mercy Clinic Adult Hospitalists- Jefferson, LLC (Festus, MO) and 1 more organization, listed in the Medicare section above. 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 Nitika Kaswan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nitika Kaswan accept?

Health plans from Medica list Nitika Kaswan 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 Nitika Kaswan affiliated with any hospitals?

According to CMS data, Nitika Kaswan is affiliated with Mercy Hospital South and Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Nitika Kaswan was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.