RAJESH SWAMINATHAN M.D.
NPI 1720051527
Internal Medicine - Critical Care Medicine in Kirkwood, MO

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
63.63/100
CMS Quality Rating
525 COUCH AVE, KIRKWOOD, MO 63122(314) 966-1500 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rajesh Swaminathan M.d. NPPES

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

RAJESH SWAMINATHAN M.D. (NPI 1720051527) is an individual critical care medicine provider in Kirkwood, Missouri, licensed in Missouri (112696) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1720051527
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameRAJESH SWAMINATHANCredential: M.D.
Location Address525 COUCH AVEKirkwood, MO 63122-5536
Mailing Address999 Executive Parkway Dr, Suite 320Saint Louis, MO 63141-6336 · (314) 514-6000 · Fax (314) 514-6020
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 10, 2006
Last NPPES UpdateMarch 11, 2008
NPI 1720051527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in MO · 112696
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

525 COUCH AVE, Kirkwood, MO 63122

Other Identifiers 1

Medicare UPINH91480MO

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

Rajesh Swaminathan 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 ID2769465863
PECOS Enrollment IDI20040610000203
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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
553 services183 patients
Follow-up hospital inpatient care per day, typically 25 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.
142 services91 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
47 services45 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
31 services31 patients
Follow-up hospital inpatient care per day, typically 35 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.
27 services24 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260110
Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County
Emergency services Birthing friendly

Mercy Hospital Stoddard

Acute Care Hospitals · Dexter, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260160
Location1200 N One Mile RdDexter, MO 63841 · Stoddard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63122 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

63.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.19
Promoting Interoperability100
Improvement Activities40
Cost58.59

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…
100%52 patients5/55-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.

Other Providers at the Same Location NPPES 18

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

Nurse Anesthetist, Certified Registered
525 COUCH AVE
KIRKWOOD, MO 63122
Emergency Medicine
525 COUCH AVE
KIRKWOOD, MO 63122
Emergency Medicine
525 COUCH AVE
KIRKWOOD, MO 63122
Emergency Medicine
525 COUCH AVE
KIRKWOOD, MO 63122
Obstetrics & Gynecology
525 COUCH AVE
KIRKWOOD, MO 63122
Internal Medicine (Cardiovascular Disease)
525 COUCH AVE
KIRKWOOD, MO 63122
Emergency Medicine
525 COUCH AVE
KIRKWOOD, MO 63122
Emergency Medicine
525 COUCH AVE
KIRKWOOD, MO 63122

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 Rajesh Swaminathan's NPI number?

The NPI number for Rajesh Swaminathan is 1720051527. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Rajesh Swaminathan located?

Rajesh Swaminathan practices at 525 Couch Ave, Kirkwood, MO 63122. The listed phone number is (314) 966-1500.

What is Rajesh Swaminathan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Rajesh Swaminathan enrolled in Medicare?

Yes. Rajesh Swaminathan 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 Rajesh Swaminathan affiliated with any hospitals?

According to CMS data, Rajesh Swaminathan is affiliated with Mercy Hospital Southeast and Mercy Hospital Stoddard.

When was this NPI record last updated?

The NPPES record for Rajesh Swaminathan was last updated on March 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.