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DR. SHWETHA SUDHEENDRA SHRIVATSA M.D.
NPI 1699000158
Obstetrics & Gynecology - Gynecology in Philadelphia, PA

Active since October 16, 2009PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
4510 FRANKFORD AVE, PHILADELPHIA, PA 19124(215) 744-1302(215) 744-2544 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shwetha Sudheendra Shrivatsa M.d. NPPES

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

DR. SHWETHA SUDHEENDRA SHRIVATSA M.D. (NPI 1699000158) is an individual gynecology provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA10108100) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1699000158
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. SHWETHA SUDHEENDRA SHRIVATSACredential: M.D.
Location Address4510 FRANKFORD AVEPhiladelphia, PA 19124-3602
Mailing Address740 Route 1 NIselin, NJ 08830-2652 · (732) 362-3840 · Fax (732) 362-3850
Phone(215) 744-1302
Fax(215) 744-2544
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 16, 2009
Last NPPES UpdateJanuary 13, 2020
✔ NPI 1699000158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NJ · 25MA10108100
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD447014 (PA)
4510 FRANKFORD AVE, Philadelphia, PA 19124
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Accepted Insurance

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

Dr. Shwetha Sudheendra Shrivatsa M.d. 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 ID6800023771
PECOS Enrollment IDI20200130000390
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 Reassignment

Medicare enrollment records show Shwetha Shrivatsa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
57 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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 2

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.
15 services13 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19124 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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.

BRESHAY WOODS
Family Medicine
4510 FRANKFORD AVE
PHILADELPHIA, PA 19124
Philadelphia County (443) 453-4795
RICHARDSON PAYE PSY.D
Counselor (Professional)
4510 FRANKFORD AVE, 2ND FLOOR
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-9882
XIAOWEN TANG
Counselor (Professional)
4510 FRANKFORD AVE, 2ND FLOOR
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-9882
MS. FLORA HENRIETTA BAKER RD
Dietitian, Registered
4510 FRANKFORD AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 370-4548
MARGARITA MIRANDA
Counselor (Mental Health)
4510 FRANKFORD AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 744-1302
DANIEL GAYOU
Case Manager/Care Coordinator
4510 FRANKFORD AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-9882
JAYNE HENDERSON BROWN M.D.
Internal Medicine
4510 FRANKFORD AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 744-1302
HYSONJA FERSNER
Counselor (Professional)
4510 FRANKFORD AVE, 2ND FLOOR
PHILADELPHIA, PA 19124
Philadelphia County (215) 744-1302

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 Shwetha Shrivatsa's NPI number?

The NPI number for Shwetha Shrivatsa is 1699000158. It was assigned to this individual provider in the NPPES registry on October 16, 2009.

Where is Shwetha Shrivatsa located?

Shwetha Shrivatsa practices at 4510 Frankford Ave, Philadelphia, PA 19124. The listed phone number is (215) 744-1302.

What is Shwetha Shrivatsa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Shwetha Shrivatsa enrolled in Medicare?

Yes. Shwetha Shrivatsa 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 organization bills Medicare for Shwetha Shrivatsa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shwetha Shrivatsa reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Shwetha Shrivatsa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shwetha Shrivatsa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Shwetha Shrivatsa 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 Shwetha Shrivatsa affiliated with any hospitals?

According to CMS data, Shwetha Shrivatsa is affiliated with Raritan Bay Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Shwetha Shrivatsa was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.