SWAYAM NIRUJOGI MD
NPI 1851915128
Family Medicine in West Reading, PA
About Swayam Nirujogi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SWAYAM NIRUJOGI MD (NPI 1851915128) is an individual family medicine provider in West Reading, Pennsylvania, licensed in Pennsylvania (MT220090) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Swayam Nirujogi 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.
Medicare Billing Reassignment
Medicare enrollment records show Swayam Nirujogi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reading Hospital
Acute Care Hospitals · West Reading, PAPenn State Health St. Joseph
Acute Care Hospitals · Reading, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WEST READING, PA 19611
WEST READING, PA 19611
WEST READING, PA 19611
WEST READING, PA 19611
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 Swayam Nirujogi's NPI number?
The NPI number for Swayam Nirujogi is 1851915128. It was assigned to this individual provider in the NPPES registry on June 3, 2020.
Where is Swayam Nirujogi located?
Swayam Nirujogi practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-8855.
What is Swayam Nirujogi's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Swayam Nirujogi enrolled in Medicare?
Yes. Swayam Nirujogi 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 organization bills Medicare for Swayam Nirujogi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Swayam Nirujogi reassigns Medicare benefits to Tower Health Medical Group (West Reading, PA). The 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 Swayam Nirujogi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Swayam Nirujogi accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Swayam Nirujogi 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 Swayam Nirujogi affiliated with any hospitals?
According to CMS data, Swayam Nirujogi is affiliated with Reading Hospital and Penn State Health St. Joseph.
When was this NPI record last updated?
The NPPES record for Swayam Nirujogi was last updated on June 3, 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.
# Swayam Nirujogi, MD · NPI 1851915128
Family Medicine physician in West Reading, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 3, 2020.
## Identity
- **NPI:** 1851915128 (Entity type: Individual)
- **Enumerated:** June 3, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MT220090 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 S 5TH AVE, West Reading, PA 19611-2143
- **Phone:** (484) 628-8855
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tower Health Medical Group (NPI 1063589273, West Reading, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** June 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1851915128) · Data from the CMS NPPES public registry.