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DR. SWAPNA KAMIREDDY MD
NPI 1710119003
Internal Medicine in Pleasanton, CA

Active since August 20, 2009PECOS EnrolledAccepts Medicare Assignment
5725 W LAS POSITAS BLVD STE 110, PLEASANTON, CA 94588(925) 847-3000 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Swapna Kamireddy Md NPPES

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

DR. SWAPNA KAMIREDDY MD (NPI 1710119003) is an individual internal medicine provider in Pleasanton, California, licensed in California (A117393) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1710119003
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SWAPNA KAMIREDDYCredential: MD
Location Address5725 W LAS POSITAS BLVD STE 110Pleasanton, CA 94588-4016
Mailing Address5725 W Las Positas Blvd Ste 110Pleasanton, CA 94588-4016 · (925) 847-3000
Phone(925) 847-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 20, 2009
Last NPPES UpdateDecember 8, 2022
NPPES CertifiedDecember 8, 2022
✔ NPI 1710119003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A117393✔ Licensed in DE · C1-0010030
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.
5725 W LAS POSITAS BLVD STE 110, Pleasanton, CA 94588
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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. Swapna Kamireddy 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 ID7315117702
PECOS Enrollment IDI20130911000632
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

6

Medicare enrollment records show Swapna Kamireddy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alameda Health System
12 mi
Federally Qualified Health Center (FQHC)
664 SOUTHLAND MALL
Hayward, CA 94545
  • Reassigned Medicare billing, California enrollment
  • 900 clinicians in this Medicare group
NPI 1023219821 (510) 266-1700
Permanente Medical Group Inc
23 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000
Sutter Valley Medical Foundation
39 mi
Multi-Specialty
2720 LOW CT
Fairfield, CA 94534
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1184859894 (707) 428-2731
Hospitalists Of Modesto Medical Group Inc
49 mi
Internal Medicine
1441 FLORIDA AVE
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 176 clinicians in this Medicare group
NPI 1821190711 (209) 576-3525
Hospitalist Medicine Physicians Of California, Inc
338 mi
Internal Medicine
18300 US HIGHWAY 18
Apple Valley, CA 92307
  • Reassigned Medicare billing, California enrollment
  • 914 clinicians in this Medicare group
NPI 1184663965 (760) 946-4233
Quantum Healthcare Medical Associates Inc.
356 mi
Hospitalist
400 N PEPPER AVE
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 338 clinicians in this Medicare group
NPI 1568490597 (909) 580-1000

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 5

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.
101 services50 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.
20 services20 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.
17 services12 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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 suppliers43 claims43 services$17.85 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier13 claims13 services$39.88 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 suppliers52 claims52 services$88.12 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$22.83 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$9.15 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 3

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

DR. SHEFALI DHAM M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5725 W LAS POSITAS BLVD STE 110
PLEASANTON, CA 94588
Alameda County (925) 416-6767
DR. RAYMUNDO P PUNZALAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5725 W LAS POSITAS BLVD STE 110
PLEASANTON, CA 94588
Alameda County (925) 463-1400
KATHERINE L BURCK M.D.
Internal Medicine
5725 W LAS POSITAS BLVD STE 110
PLEASANTON, CA 94588
Alameda County (925) 463-1400

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 Swapna Kamireddy's NPI number?

The NPI number for Swapna Kamireddy is 1710119003. It was assigned to this individual provider in the NPPES registry on August 20, 2009.

Where is Swapna Kamireddy located?

Swapna Kamireddy practices at 5725 W Las Positas Blvd Ste 110, Pleasanton, CA 94588. The listed phone number is (925) 847-3000.

What is Swapna Kamireddy's specialty?

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

Is Swapna Kamireddy enrolled in Medicare?

Yes. Swapna Kamireddy 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 Swapna Kamireddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swapna Kamireddy reassigns Medicare benefits to 6 organizations: Alameda Health System (Hayward, CA), Permanente Medical Group Inc (Redwood City, CA), Sutter Valley Medical Foundation (Fairfield, CA), Hospitalists Of Modesto Medical Group Inc (Modesto, CA), Hospitalist Medicine Physicians Of California, Inc (Apple Valley, CA) and 1 more organization, listed in the Medicare section above. 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 Swapna Kamireddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Swapna Kamireddy was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.