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SWATI RAO M.D.
NPI 1790985778
Internal Medicine - Nephrology in Charlottesville, VA

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1300 JEFFERSON PARK AVE FL 4, CHARLOTTESVILLE, VA 22903(800) 543-8814(434) 924-5848 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Aug 2, 2021, Oct 7, 2020 and 1 more (4 updates tracked since 2018).

About Swati Rao M.d. NPPES

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

SWATI RAO M.D. (NPI 1790985778) is an individual nephrology provider in Charlottesville, Virginia, licensed in Virginia (0101264512) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1790985778
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSWATI RAOCredential: M.D.
Location Address1300 JEFFERSON PARK AVE FL 4Charlottesville, VA 22903
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(800) 543-8814
Fax(434) 924-5848
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 19, 2007
Last NPPES UpdateAugust 10, 20234 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1790985778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in VA · 0101264512✔ Licensed in PA · MD448430
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 233860 (MA), MD448430 (PA)
1300 JEFFERSON PARK AVE FL 4, Charlottesville, VA 22903
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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-0211

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

Swati Rao 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 ID8022250885
PECOS Enrollment IDI20180705000599, I20251028000806
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 5

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.
289 services81 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
262 services121 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.
67 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services21 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
11 suppliers326 claims126,520 services$1.20 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
30 suppliers380 claims47,164 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
14 suppliers326 claims49,595 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers39 claims5,850 services$0.56 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
30 suppliers468 claims69,240 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
13 suppliers173 claims28,350 services$0.97 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 5

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

COURTNEY BASCOM
Dietitian, Registered
1300 JEFFERSON PARK AVE FL 4
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5367
RAYMOND F. MORGAN
Plastic Surgery (Surgery of the Hand)
1300 JEFFERSON PARK AVE FL 4
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5078
CHRISTOPHER A. CAMPBELL M.D.
Plastic Surgery
1300 JEFFERSON PARK AVE FL 4
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5078
SUZANNE QUEHEILLALT CNS
Clinical Nurse Specialist (Adult Health)
1300 JEFFERSON PARK AVE FL 4
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5467
HEATHER PASSERINI N.P.
Nurse Practitioner (Acute Care)
1300 JEFFERSON PARK AVE FL 4
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2150

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 Rao's NPI number?

The NPI number for Swati Rao is 1790985778. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Swati Rao located?

Swati Rao practices at 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903. The listed phone number is (800) 543-8814.

What is Swati Rao's specialty?

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

Is Swati Rao enrolled in Medicare?

Yes. Swati Rao 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 Swati Rao affiliated with any hospitals?

According to CMS data, Swati Rao is affiliated with Winchester Medical Center, University Of Virginia Medical Center, Centra Health - Lynchburg Gen Hospital, Mary Washington Hospital and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Swati Rao was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.