SHYLA B. SWAMY M.D.
NPI 1790965747
Family Medicine in Pasadena, CA

Active since November 07, 2007PECOS EnrolledAccepts Medicare Assignment
80.51/100
CMS Quality Rating
65 N MADISON AVE, SUITE 800, PASADENA, CA 91101(626) 792-3141(626) 792-9193 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shyla B. Swamy M.d. NPPES

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

SHYLA B. SWAMY M.D. (NPI 1790965747) is an individual family medicine provider in Pasadena, California, licensed in California (A99150) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1790965747
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHYLA B. SWAMYCredential: M.D.
Location Address65 N MADISON AVE, SUITE 800Pasadena, CA 91101-2035
Mailing Address65 N Madison Ave Ste 800Pasadena, CA 91101-2038 · (626) 397-8300 · Fax (626) 397-8337
Fax(626) 792-9193
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 7, 2007
Last NPPES UpdateMay 21, 2020
NPPES CertifiedMay 21, 2020
NPI 1790965747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A99150
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

65 N MADISON AVE, Pasadena, CA 91101

Other Identifiers 1

OtherA99150CA · California Medical Licens

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

Shyla B. Swamy 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 ID2668552431
PECOS Enrollment IDI20080107000207
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 7

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.
238 services115 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91101 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

80.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.87
Promoting Interoperability96
Improvement Activities40
Cost62.52

Referred Medical Equipment & Supplies CMS DME claims 2

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 suppliers15 claims15 services$13.86 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
2 suppliers15 claims15 services$63.66 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 20

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

Nurse Practitioner (Family)
65 N MADISON AVE, SUITE 610
PASADENA, CA 91101
Pharmacy (Community/Retail Pharmacy)
65 N MADISON AVE
PASADENA, CA 91101
Nurse Practitioner (Family)
65 N MADISON AVE, SUITE 800
PASADENA, CA 91101
Radiology (Diagnostic Radiology)
65 N MADISON AVE, LOWER LEVEL
PASADENA, CA 91101
Marriage & Family Therapist
65 N MADISON AVE, STE 612
PASADENA, CA 91101
Dermatology
65 N MADISON AVE, SUITE 409
PASADENA, CA 91101
Podiatrist (Foot & Ankle Surgery)
65 N MADISON AVE, SUITE 512
PASADENA, CA 91101
Internal Medicine
65 N MADISON AVE, SUITE 800
PASADENA, CA 91101

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 Shyla Swamy's NPI number?

The NPI number for Shyla Swamy is 1790965747. It was assigned to this individual provider in the NPPES registry on November 7, 2007.

Where is Shyla Swamy located?

Shyla Swamy practices at 65 N Madison Ave Suite 800, Pasadena, CA 91101. The listed phone number is (626) 792-3141.

What is Shyla Swamy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shyla Swamy enrolled in Medicare?

Yes. Shyla 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 Shyla Swamy was last updated on May 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.