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SWARNA GUMMADI
NPI 1659080380
Nurse Practitioner - Acute Care in Lake Zurich, IL

Active since November 21, 2022PECOS EnrolledAccepts Medicare Assignment
25 TELSER RD UNIT 1057, LAKE ZURICH, IL 60047(847) 847-1393 Get Directions Write a Review

NPPES record last updated: August 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2023, Nov 21, 2022 (2 updates tracked since 2022).

About Swarna Gummadi NPPES

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

SWARNA GUMMADI (NPI 1659080380) is an individual acute care provider in Lake Zurich, Illinois, licensed in Illinois (209027141) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659080380
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSWARNA GUMMADI
Location Address25 TELSER RD UNIT 1057Lake Zurich, IL 60047-3647
Mailing Address62 Kettell AveYonkers, NY 10704-2211
Phone(847) 847-1393
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 21, 2022
Last NPPES UpdateAugust 20, 20232 updates tracked since enumeration
NPPES CertifiedAugust 20, 2023
✔ NPI 1659080380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 209027141
Also ListedRegistered NurseTaxonomy 163W00000X · License 041541780 (IL)
Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License RN2348431 (MA)
25 TELSER RD UNIT 1057, Lake Zurich, IL 60047
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Swarna Gummadi 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 ID3173046992
PECOS Enrollment IDI20250402000129
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.

Hospital Affiliations CMS Care Compare 3

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60047 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Swarna Gummadi's NPI number?

The NPI number for Swarna Gummadi is 1659080380. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Swarna Gummadi located?

Swarna Gummadi practices at 25 Telser Rd Unit 1057, Lake Zurich, IL 60047. The listed phone number is (847) 847-1393.

What is Swarna Gummadi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Swarna Gummadi enrolled in Medicare?

Yes. Swarna Gummadi 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.

What insurance does Swarna Gummadi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Swarna Gummadi 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 Swarna Gummadi affiliated with any hospitals?

According to CMS data, Swarna Gummadi is affiliated with Lancaster General Hospital, Paoli Hospital and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Swarna Gummadi was last updated on August 20, 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.