SWAPNA THOTA M.D
NPI 1821301052
Internal Medicine - Hematology & Oncology in Cleveland, OH

Active since July 16, 2010PECOS EnrolledAccepts Medicare Assignment
75.06/100
CMS Quality Rating
18101 LORAIN AVE, CLEVELAND, OH 44111(216) 476-7000 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 10, 2020, Jul 30, 2020, Oct 10, 2019 and 2 more (5 updates tracked since 2017).

About Swapna Thota M.d NPPES

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

SWAPNA THOTA M.D (NPI 1821301052) is an individual hematology & oncology provider in Cleveland, Ohio, licensed in Tennessee (61632) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Regional One Health, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1821301052
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSWAPNA THOTACredential: M.D
Location Address18101 LORAIN AVECleveland, OH 44111-5612
Mailing Address18101 Lorain AvenueCleveland, OH 44111 · (216) 476-7029
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 16, 2010
Last NPPES UpdateAugust 10, 20205 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
✔ NPI 1821301052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in TN · 61632✔ Licensed in NY · 289926
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 289926 (NY), 57017392 (OH)
18101 LORAIN AVE, Cleveland, OH 44111

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Swapna Thota 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 ID3577836576
PECOS Enrollment IDI20201009000529
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 Swapna Thota reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
262 DANNY THOMAS PL
Memphis, TN 38105
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: St Jude Childrens Research Hospital Inc
  • 367 clinicians in this Medicare group
Surgery
877 JEFFERSON AVE
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 421 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Regional One Health

Acute Care Hospitals · Memphis, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440152
Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44111 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

75.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.46
Improvement Activities40
Cost71.87

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.

Student in an Organized Health Care Education/Training Program
18101 LORAIN AVE
CLEVELAND, OH 44111
Nurse Practitioner (Family)
18101 LORAIN AVE
CLEVELAND, OH 44111
Pharmacy (Clinic Pharmacy)
18101 LORAIN AVE
CLEVELAND, OH 44111
Social Worker (Clinical)
18101 LORAIN AVE
CLEVELAND, OH 44111
Physician Assistant
18101 LORAIN AVE
CLEVELAND, OH 44111
Psychiatry & Neurology (Neurology)
18101 LORAIN AVE
CLEVELAND, OH 44111
Student in an Organized Health Care Education/Training Program
18101 LORAIN AVE
CLEVELAND, OH 44111
Emergency Medicine
18101 LORAIN AVE
CLEVELAND, OH 44111

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 Swapna Thota's NPI number?

The NPI number for Swapna Thota is 1821301052. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Swapna Thota located?

Swapna Thota practices at 18101 Lorain Ave, Cleveland, OH 44111. The listed phone number is (216) 476-7000.

What is Swapna Thota's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Swapna Thota enrolled in Medicare?

Yes. Swapna Thota 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.

Which organizations bill Medicare for Swapna Thota's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swapna Thota reassigns Medicare benefits to 2 organizations: St Jude Children's Research Hospital, Inc. (Memphis, TN) and Ut Regional One Physicians Inc (Memphis, TN). 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 Swapna Thota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Swapna Thota accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Swapna Thota 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 Swapna Thota affiliated with any hospitals?

According to CMS data, Swapna Thota is affiliated with Regional One Health.

When was this NPI record last updated?

The NPPES record for Swapna Thota was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.