DR. THEJAS N SWAMY MD
NPI 1790914547
Internal Medicine - Nephrology in Middletown, CT

Active since July 14, 2009PECOS EnrolledAccepts Medicare Assignment
67.6/100
CMS Quality Rating
535 SAYBROOK RD STE 5, MIDDLETOWN, CT 06457(860) 344-8606(860) 344-8963 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 5, 2024, Dec 11, 2023, May 31, 2023 and 4 more (7 updates tracked since 2018).

About Dr. Thejas N Swamy Md NPPES

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

DR. THEJAS N SWAMY MD (NPI 1790914547) is an individual nephrology provider in Middletown, Connecticut, licensed in Connecticut (051699) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Essex, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1790914547
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. THEJAS N SWAMYCredential: MD
Location Address535 SAYBROOK RD STE 5Middletown, CT 06457-4743
Mailing Address535 Saybrook Rd Ste 5Middletown, CT 06457-4743 · (860) 344-8606 · Fax (860) 344-8963
Fax(860) 344-8963
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 14, 2009
Last NPPES UpdateJanuary 5, 20247 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
NPI 1790914547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in CT · 051699
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

535 SAYBROOK RD STE 5, Middletown, CT 06457

Secondary Practice Location 1

Location 135 Saybrook RdEssex, CT 06426-1490 · Phone (860) 344-8606 ext. 2 · Fax (860) 344-8963

Other Identifiers 8

Other5955504CT · Cigna
Other2539259CT · Coventry/first Health
Other929297CT · Wellcare
Other5295851CT · Aetna
OtherP4854527CT · Uhc/oxford
Medicaid1790914547CT
OtherP01262027CT · Railroad
Other051699CT · Connecticare

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

Dr. Thejas N Swamy 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 ID1951543164
PECOS Enrollment IDI20130816000385
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 3

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.
593 services312 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
135 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
82 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

67.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.01
Promoting Interoperability0
Improvement Activities40
Cost85.19

Reported Quality Measures

Controlling High Blood Pressure
64%500 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
89%101 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%1,792 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%563 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%825 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%784 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%433 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 479 patients
Patients screened: 95% · 479 patients
0%38 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 587 patients
Patients totalRate: 0% · 587 patients
0%587 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 2

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

Internal Medicine (Nephrology)
535 SAYBROOK RD STE 5
MIDDLETOWN, CT 06457
Internal Medicine (Nephrology)
535 SAYBROOK RD STE 5
MIDDLETOWN, CT 06457

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 Thejas Swamy's NPI number?

The NPI number for Thejas Swamy is 1790914547. It was assigned to this individual provider in the NPPES registry on July 14, 2009.

Where is Thejas Swamy located?

Thejas Swamy practices at 535 Saybrook Rd Ste 5, Middletown, CT 06457. The listed phone number is (860) 344-8606.

What is Thejas Swamy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Thejas Swamy enrolled in Medicare?

Yes. Thejas Swamy 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.

When was this NPI record last updated?

The NPPES record for Thejas Swamy was last updated on January 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.