NITHYA KRISHNASWAMY MD
NPI 1710273693
Hospitalist in Phoenix, AZ

Q: What is Nithya Krishnaswamy's NPI number?

The NPI number for Nithya Krishnaswamy is 1710273693. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Q: What is Nithya Krishnaswamy's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment

70.3/100

CMS Quality Rating

5102 W CAMPBELL AVE, PHOENIX, AZ 85031(623) 848-5000 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Nithya Krishnaswamy Md NPPES

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

NITHYA KRISHNASWAMY MD (NPI 1710273693) is an individual hospitalist provider in Phoenix, Arizona, licensed in Arizona (49756) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1710273693

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameNITHYA KRISHNASWAMYCredential: MD

Location Address5102 W CAMPBELL AVEPhoenix, AZ 85031-1703

Mailing Address5102 W Campbell AvePhoenix, AZ 85031-1703 · (623) 848-5000

Phone(623) 848-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 20, 2011

Last NPPES UpdateNovember 14, 2022

NPPES CertifiedNovember 14, 2022

✔ NPI 1710273693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in AZ · 49756

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 49756 (AZ)

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

5102 W CAMPBELL AVE, Phoenix, AZ 85031

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Medica, Oscar Health Plan, Inc. and more.Insurance ›

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

Nithya Krishnaswamy 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 ID42456113

PECOS Enrollment IDI20141107002132, I20250718002121

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 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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

359 services354 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.

47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85031 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

70.3/100

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

Scored as part of a group practice

Quality

40.27

Improvement Activities

Cost

71.99

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.

DR. KATE M GILLPATRICK DO

Psychiatry & Neurology (Psychiatry)