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SWETHA MADHAVARAPU M.D.
NPI 1669752887
Pediatrics in Philadelphia, PA

Active since August 18, 2011PECOS Enrolled
160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-8818 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 13, 2026, Mar 21, 2023, Feb 23, 2017 (3 updates tracked since 2017).

About Swetha Madhavarapu M.d. NPPES

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

SWETHA MADHAVARAPU M.D. (NPI 1669752887) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA11302500) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1669752887
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSWETHA MADHAVARAPUCredential: M.D.
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Phone(215) 427-8818
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 18, 2011
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1669752887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · 25MA11302500✔ Licensed in PA · MD449499
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 25MA11302500 (NJ), MD449499 (PA)
160 E ERIE AVE, Philadelphia, PA 19134
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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 and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Swetha Madhavarapu M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254574783
PECOS Enrollment IDI20260129000784
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

2

Medicare enrollment records show Swetha Madhavarapu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stc Pediatrics LLC
Same address
Pediatric Allergy/Immunology
160 E ERIE AVE
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
NPI 1003450420 (215) 427-5284
Barnabas Health Medical Group PC
66 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19134 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

GEOFFREY LIBARNES BAJWA MD
Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
STC PEDIATRICS LLC
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5284
JOANNA OVERTON DO
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
MS. NEHA BUTT MBBS
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Philadelphia County (923) 333-1317
CHRISTOPHER HAINES D.O.
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5369
DR. FRASER HUNTINGTON BROWN M.D.
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-3725
NORRELL KRISTIN ATKINSON MD
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
VICTORIA NICOLE HUDSON CRNP-PC
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5985

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 Swetha Madhavarapu's NPI number?

The NPI number for Swetha Madhavarapu is 1669752887. It was assigned to this individual provider in the NPPES registry on August 18, 2011.

Where is Swetha Madhavarapu located?

Swetha Madhavarapu practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-8818.

What is Swetha Madhavarapu's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Swetha Madhavarapu enrolled in Medicare?

Yes. Swetha Madhavarapu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Swetha Madhavarapu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swetha Madhavarapu reassigns Medicare benefits to 2 organizations: Stc Pediatrics LLC (Philadelphia, PA) and Barnabas Health Medical Group PC (Elizabeth, NJ). 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 Swetha Madhavarapu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Swetha Madhavarapu accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Swetha Madhavarapu 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.

When was this NPI record last updated?

The NPPES record for Swetha Madhavarapu was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.