SWAPNIL RAJAN RATH M.D.
NPI 1881988038
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment
300 68TH ST SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICES, GRAND RAPIDS, MI 49548(616) 455-5000(616) 455-5460 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Swapnil Rajan Rath M.d. NPPES

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

SWAPNIL RAJAN RATH M.D. (NPI 1881988038) is an individual psychiatry provider in Grand Rapids, Michigan, licensed in Michigan (4301104845) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1881988038
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSWAPNIL RAJAN RATHCredential: M.D.
Location Address300 68TH ST SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICESGrand Rapids, MI 49548-6927
Mailing Address300 68th St Se, Pine Rest Christian Mental Health ServicesGrand Rapids, MI 49548-6927 · (616) 455-5000 · Fax (616) 455-5460
Fax(616) 455-5460
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 6, 2011
Last NPPES UpdateJuly 8, 2016
NPI 1881988038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in MI · 4301104845
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 94-07653 (KS), 4301104845 (MI)
300 68TH ST SE, Grand Rapids, MI 49548

Accepted Insurance

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

Swapnil Rajan Rath 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 ID2365743564
PECOS Enrollment IDI20160706002019
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 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.

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.
302 services54 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.
59 services28 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
41 services38 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
35 services23 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.
33 services30 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.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49548 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Behavior Analyst
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Counselor (Mental Health)
300 68TH ST SE
GRAND RAPIDS, MI 49548

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 Swapnil Rath's NPI number?

The NPI number for Swapnil Rath is 1881988038. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Where is Swapnil Rath located?

Swapnil Rath practices at 300 68th St SE Pine Rest Christian Mental Health Services, Grand Rapids, MI 49548. The listed phone number is (616) 455-5000.

What is Swapnil Rath's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Swapnil Rath enrolled in Medicare?

Yes. Swapnil Rath 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.

What insurance does Swapnil Rath accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Swapnil Rath 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.

When was this NPI record last updated?

The NPPES record for Swapnil Rath was last updated on July 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.