SWETHA TANGUTURI M.D.
NPI 1871943530
Internal Medicine in Leesburg, VA

Q: What is Swetha Tanguturi's NPI number?

The NPI number for Swetha Tanguturi is 1871943530. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Q: What is Swetha Tanguturi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Swetha Tanguturi was last updated on June 29, 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.

Active since June 14, 2016PECOS EnrolledAccepts Medicare Assignment

44045 RIVERSIDE PKWY, LEESBURG, VA 20176(703) 858-6000(703) 858-6900 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2019, Jun 14, 2016 (2 updates tracked since 2016).

On this page

About Swetha Tanguturi M.d. NPPES

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

SWETHA TANGUTURI M.D. (NPI 1871943530) is an individual internal medicine provider in Leesburg, Virginia, licensed in Virginia (0101267166) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1871943530

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSWETHA TANGUTURICredential: M.D.

Location Address44045 RIVERSIDE PKWYLeesburg, VA 20176-5101

Mailing Address44045 Riverside PkwyLeesburg, VA 20176-5101 · (703) 858-6000 · Fax (703) 858-6900

Phone(703) 858-6000

Fax(703) 858-6900

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJune 14, 2016

Last NPPES UpdateJune 29, 20232 updates tracked since enumeration

NPPES CertifiedJune 29, 2023

✔ NPI 1871943530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in VA · 0101267166✔ Licensed in MO · 2016013298

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 9023518 (MO)

44045 RIVERSIDE PKWY, Leesburg, VA 20176

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Swetha Tanguturi 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 ID8123395886

PECOS Enrollment IDI20190731002295, I20230726002476

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

Medicare enrollment records show Swetha Tanguturi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inova Health Care Services

16 mi

Urgent Care

100 MAPLE AVE E
Vienna, VA 22180

Reassigned Medicare billing, Virginia and District of Columbia enrollments
Also billed through NPI 1669511051 (District of Columbia)
2,379 clinicians in this Medicare group

NPI 1275886418 (703) 938-5300

Sound Physicians Of Illinois, LLC

698 mi

Hospitalist

12303 DE PAUL DR
Bridgeton, MO 63044

Reassigned Medicare billing, Missouri enrollment
301 clinicians in this Medicare group

NPI 1043598865 (314) 344-6000

Galen Inpatient Physicians PC.

702 mi

Hospitalist

1015 BOWLES AVE
Fenton, MO 63026

Reassigned Medicare billing, Missouri enrollment
93 clinicians in this Medicare group

NPI 1538714688 (636) 496-2000

Mercy Clinic Springfield Communities

755 mi

Rural Health

518 PINE ST
Steelville, MO 65565

Reassigned Medicare billing, Missouri enrollment
Also billed through NPI 1245277631 (Missouri)
1,487 clinicians in this Medicare group

NPI 1669504411 (573) 775-5838

Gates Hospitalists LLC

916 mi

Internal Medicine

2750 CLAY EDWARDS DR STE 200A
North Kansas City, MO 64116

Reassigned Medicare billing, Missouri enrollment
22 clinicians in this Medicare group

NPI 1699774893 (816) 968-9320

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 9

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.

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.

446 services419 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

95 services52 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

80 services78 patients

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.

69 services51 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

62 services61 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

42 services41 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260005

Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County

Emergency services

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260081

Location1015 BowlesFenton, MO 63026 · Jefferson County

Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260200

Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County

Emergency services Birthing friendly

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490043

Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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.

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.

MUNIRA DABHIYA MD

Internal Medicine

44045 RIVERSIDE PKWY
LEESBURG, VA 20176

Loudoun County (703) 858-6000

DR. JOSHUA JAMES WIND M.D.

Neurological Surgery

44045 RIVERSIDE PKWY
LEESBURG, VA 20176

Loudoun County (703) 858-6000

TAYLOR HELENE LUNA

Registered Nurse

44045 RIVERSIDE PKWY
LEESBURG, VA 20176

Loudoun County (703) 858-6000

JENNIFER GUT

Nurse Anesthetist, Certified Registered

44045 RIVERSIDE PKWY
LEESBURG, VA 20176

Loudoun County (703) 858-6000

DR. WILLIAM PAUL HARRIS MD

Anesthesiology

44045 RIVERSIDE PKWY
LEESBURG, VA 20176

Loudoun County (703) 858-6000

BENJAMIN HARRISON MCILWAINE MD

Family Medicine

44045 RIVERSIDE PKWY, INOVA LOUDOUN HOSPITAL
LEESBURG, VA 20176

Loudoun County (703) 858-6044

MR. ANDREW SANDERS JR. CRNA

Nurse Anesthetist, Certified Registered

44045 RIVERSIDE PKWY, INOVA LOUDOUN HOSPITAL
LEESBURG, VA 20176

Loudoun County (703) 858-6000

MS. MINTRA SARASUP CRNA

Nurse Anesthetist, Certified Registered

44045 RIVERSIDE PKWY
LEESBURG, VA 20176

Loudoun County (703) 858-6000

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 Swetha Tanguturi's NPI number?

The NPI number for Swetha Tanguturi is 1871943530. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Swetha Tanguturi located?

Swetha Tanguturi practices at 44045 Riverside Pkwy, Leesburg, VA 20176. The listed phone number is (703) 858-6000.

What is Swetha Tanguturi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Swetha Tanguturi enrolled in Medicare?

Yes. Swetha Tanguturi 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 Swetha Tanguturi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swetha Tanguturi reassigns Medicare benefits to 5 organizations: Inova Health Care Services (Vienna, VA), Sound Physicians Of Illinois, LLC (Bridgeton, MO), Galen Inpatient Physicians PC. (Fenton, MO), Mercy Clinic Springfield Communities (Steelville, MO) and Gates Hospitalists LLC (North Kansas City, MO). 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 Swetha Tanguturi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Swetha Tanguturi accept?

Health plans from Oscar Health list Swetha Tanguturi 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 Swetha Tanguturi affiliated with any hospitals?

According to CMS data, Swetha Tanguturi is affiliated with Ssm St Joseph Health Center, Ssm St Clare Health Center, Ssm Health Saint Louis University Hospital, Ssm St Joseph Hospital West and Inova Loudoun Hospital.

When was this NPI record last updated?

The NPPES record for Swetha Tanguturi was last updated on June 29, 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.