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DR. SWATI AVASHIA M.D.
NPI 1740291319
Internal Medicine in Austin, TX

Active since August 10, 2006PECOS Enrolled
72.52/100
CMS Quality Rating
1313 RED RIV STE 100, AUSTIN, TX 78701(512) 324-8600(512) 324-8616 Get Directions Write a Review

NPPES record last updated: October 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Swati Avashia M.d. NPPES

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

DR. SWATI AVASHIA M.D. (NPI 1740291319) is an individual internal medicine provider in Austin, Texas, licensed in Texas (L8607) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Dell Seton Med Center At The University Of Tx, and is a graduate of West Virginia University School Of Medicine (1998).

NPPES Registry Identity

NPI1740291319
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SWATI AVASHIACredential: M.D.
Location Address1313 RED RIV STE 100Austin, TX 78701-1923
Mailing Address1313 Red River St, Suite 100Austin, TX 78701-1943 · (512) 324-7318 · Fax (512) 324-8616
Phone(512) 324-8600
Fax(512) 324-8616
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1998
Enumeration DateAugust 10, 2006
Last NPPES UpdateOctober 28, 2016
✔ NPI 1740291319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · L8607
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.
Also ListedPediatricsTaxonomy 208000000X · License L8607 (TX)
1313 RED RIV STE 100, Austin, TX 78701
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Other Identifiers 6

Medicaid181219003TX
Medicaid181219002TX
Medicare PIN334268YMGJTX
Medicaid181219004TX
Medicare UPINI23868TX
Medicare PIN8L21343TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Swati Avashia M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991754608
PECOS Enrollment IDI20050120000410
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

2

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

Seton Family Of Doctors
0.2 mi
Neurological Surgery
1601 TRINITY ST STOP 704
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group
NPI 1588997233 (512) 324-8300
Central Texas Community Health Centers
8.1 mi
Family Medicine
1210 W BRAKER LN
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 240 clinicians in this Medicare group
NPI 1427882091 (512) 978-9800

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 4

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 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.
27 services13 patients
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.
24 services13 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.
14 services14 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Other Providers at the Same Location NPPES 2

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

DR. MATTHEW LEE REYNOLDS M.D.
Family Medicine
1313 RED RIV STE 100
AUSTIN, TX 78701
Travis County (806) 441-8773
DR. ADAM P BARTA M.D.
Family Medicine
1313 RED RIV STE 100
AUSTIN, TX 78701
Travis County (512) 324-7318

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 Swati Avashia's NPI number?

The NPI number for Swati Avashia is 1740291319. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Swati Avashia located?

Swati Avashia practices at 1313 Red Riv Ste 100, Austin, TX 78701. The listed phone number is (512) 324-8600.

What is Swati Avashia's specialty?

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

Is Swati Avashia enrolled in Medicare?

Yes. Swati Avashia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Swati Avashia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swati Avashia reassigns Medicare benefits to 2 organizations: Seton Family Of Doctors (Austin, TX) and Central Texas Community Health Centers (Austin, TX). 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 Swati Avashia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Swati Avashia accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Swati Avashia 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 Swati Avashia affiliated with any hospitals?

According to CMS data, Swati Avashia is affiliated with Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Swati Avashia was last updated on October 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.