DR. SWATHI SUBRAMANY
NPI 1689057994
Internal Medicine in Albuquerque, NM

Active since July 06, 2015PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
1 UNIVERSITY OF NEW MEXICO MSC10 5550, ALBUQUERQUE, NM 87131(505) 272-8287 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 23, 2023, Nov 15, 2020, Dec 15, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Swathi Subramany NPPES

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

DR. SWATHI SUBRAMANY (NPI 1689057994) is an individual internal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2020-0817) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689057994
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SWATHI SUBRAMANY
Location Address1 UNIVERSITY OF NEW MEXICO MSC10 5550Albuquerque, NM 87131-0001
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 6, 2015
Last NPPES UpdateOctober 25, 20244 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
NPI 1689057994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NM · MD2020-0817 Licensed in WA · 1689057994
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.
1 UNIVERSITY OF NEW MEXICO MSC10 5550, Albuquerque, NM 87131

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. Swathi Subramany 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 ID2062729577
PECOS Enrollment IDI20210216003181
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 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.
64 services35 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.
53 services31 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
63%68 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$19.83 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims25 services$86.28 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Emergency Medicine (Hospice and Palliative Medicine)
1 UNIVERSITY OF NEW MEXICO MSC10 5550
ALBUQUERQUE, NM 87131
Hospitalist
1 UNIVERSITY OF NEW MEXICO MSC10 5550
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO MSC10 5550
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO MSC10 5550
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO MSC10 5550
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO MSC10 5550
ALBUQUERQUE, NM 87131
Emergency Medicine
1 UNIVERSITY OF NEW MEXICO MSC10 5550
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO MSC10 5550
ALBUQUERQUE, NM 87131

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 Swathi Subramany's NPI number?

The NPI number for Swathi Subramany is 1689057994. It was assigned to this individual provider in the NPPES registry on July 6, 2015.

Where is Swathi Subramany located?

Swathi Subramany practices at 1 University Of New Mexico Msc10 5550, Albuquerque, NM 87131. The listed phone number is (505) 272-8287.

What is Swathi Subramany's specialty?

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

Is Swathi Subramany enrolled in Medicare?

Yes. Swathi Subramany 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 Swathi Subramany affiliated with any hospitals?

According to CMS data, Swathi Subramany is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Swathi Subramany was last updated on October 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.