SAI SWAPNIKA GUTTIKONDA MD
NPI 1689134835
Family Medicine in Franklin, PA

Q: What is Sai Swapnika Guttikonda's NPI number?

The NPI number for Sai Swapnika Guttikonda is 1689134835. It was assigned to this individual provider in the NPPES registry on March 23, 2019. The provider is also known as Sai Swapnika Ghanta M.B;b.S.

Q: What is Sai Swapnika Guttikonda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 23, 2019PECOS EnrolledAccepts Medicare Assignment

78.53/100

CMS Quality Rating

464 ALLEGHENY BLVD STE 2D, FRANKLIN, PA 16323(814) 437-6793 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2026, Aug 11, 2022, Jul 6, 2022 and 1 more (4 updates tracked since 2019).

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About Sai Swapnika Guttikonda Md NPPES

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

SAI SWAPNIKA GUTTIKONDA MD (NPI 1689134835) is an individual family medicine provider in Franklin, Pennsylvania, licensed in Pennsylvania (MD478398) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Upmc Northwest, and maintains a secondary practice location in Danville.

NPPES Registry Identity

NPI1689134835

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSAI SWAPNIKA GUTTIKONDACredential: MD

Location Address464 ALLEGHENY BLVD STE 2DFranklin, PA 16323-6259

Mailing Address464 Allegheny Blvd Ste 2dFranklin, PA 16323-6259 · (814) 437-6793

Phone(814) 437-6793

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 23, 2019

Last NPPES UpdateAugust 7, 20264 updates tracked since enumeration

NPPES CertifiedAugust 11, 2022

✔ NPI 1689134835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD478398

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

464 ALLEGHENY BLVD STE 2D, Franklin, PA 16323

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Other Names 1

Former Name (1)Sai Swapnika Ghanta M.b;b.s

Secondary Practice Location 1

Location 1Geisinger Medical Center 100 North Academy AvenueDanville, PA 17822-0001 · Phone (570) 271-6211

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

Sai Swapnika Guttikonda 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 ID9638405947

PECOS Enrollment IDI20220812002219

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

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

Upmc Community Medicine Inc

0.1 mi

Family Medicine

464 ALLEGHENY BLVD
Franklin, PA 16323

Reassigned Medicare billing, Pennsylvania enrollment
1,182 clinicians in this Medicare group

NPI 1205957495 (814) 437-6793

Regional Health Services Inc

53 mi

Family Medicine

201 STATE ST
Erie, PA 16550

Reassigned Medicare billing, Pennsylvania enrollment
962 clinicians in this Medicare group

NPI 1174520654 (814) 877-8140

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

411 services221 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

238 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

58 services50 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

41 services41 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

31 services23 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Northwest

Acute Care Hospitals · Seneca, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390091

Location100 Fairfield DriveSeneca, PA 16346 · Venango County

Emergency services Birthing friendly

Upmc Horizon

Acute Care Hospitals · Greenville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390178

Location110 North Main StreetGreenville, PA 16125 · Mercer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16323 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

78.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.61

Promoting Interoperability

100

Improvement Activities

Cost

53.82

Other Providers at the Same Location NPPES 4

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

STEPHANIE ARAUJO

Family Medicine

464 ALLEGHENY BLVD STE 2D, SUITE 2D, PENNWOOD CENTER
FRANKLIN, PA 16323

Venango County (814) 437-6793

NICOLE CHEKANOWSKY PA-C

Physician Assistant

464 ALLEGHENY BLVD STE 2D
FRANKLIN, PA 16323

Venango County (814) 437-6793

DR. PETER BENDT MD

Family Medicine

464 ALLEGHENY BLVD STE 2D
FRANKLIN, PA 16323

Venango County (814) 437-6793

SERGIO GIANCOLA

Urology

464 ALLEGHENY BLVD STE 2D
FRANKLIN, PA 16323

Venango County (814) 437-1637

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 Sai Swapnika Guttikonda's NPI number?

The NPI number for Sai Swapnika Guttikonda is 1689134835. It was assigned to this individual provider in the NPPES registry on March 23, 2019. The provider is also known as Sai Swapnika Ghanta M.B;b.S.

Where is Sai Swapnika Guttikonda located?

Sai Swapnika Guttikonda practices at 464 Allegheny Blvd Ste 2D, Franklin, PA 16323. The listed phone number is (814) 437-6793.

What is Sai Swapnika Guttikonda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sai Swapnika Guttikonda enrolled in Medicare?

Yes. Sai Swapnika Guttikonda 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 Sai Swapnika Guttikonda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sai Swapnika Guttikonda reassigns Medicare benefits to 2 organizations: Upmc Community Medicine Inc (Franklin, PA) and Regional Health Services Inc (Erie, PA). 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 Sai Swapnika Guttikonda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sai Swapnika Guttikonda affiliated with any hospitals?

According to CMS data, Sai Swapnika Guttikonda is affiliated with Upmc Northwest and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Sai Swapnika Guttikonda was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.