DR. NATHANIEL CUTHBERT SWINBURNE M.D.
NPI 1952662389
Student in an Organized Health Care Education/Training Program in New Rochelle, NY

Active since June 01, 2012PECOS EnrolledAccepts Medicare Assignment
85.46/100
CMS Quality Rating
16 GUION PL, NEW ROCHELLE, NY 10801(914) 632-5000 Get Directions Write a Review

NPPES record last updated: June 1, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nathaniel Cuthbert Swinburne M.d. NPPES

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

DR. NATHANIEL CUTHBERT SWINBURNE M.D. (NPI 1952662389) is an individual student in an organized health care education/training program in New Rochelle, New York and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2012).

NPPES Registry Identity

NPI1952662389
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NATHANIEL CUTHBERT SWINBURNECredential: M.D.
Location Address16 GUION PLNew Rochelle, NY 10801-5502
Mailing Address1945 Eastchester Rd, Apt 21gBronx, NY 10461-2105
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2012
Enumeration DateJune 1, 2012
✔ NPI 1952662389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
16 GUION PL, New Rochelle, NY 10801

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

Dr. Nathaniel Cuthbert Swinburne 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 ID749539369
PECOS Enrollment IDI20180815001427, I20200214000174
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

4

Medicare enrollment records show Nathaniel Swinburne reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group
Medical Oncology
225 SUMMIT AVE
Montvale, NJ 07645
  • Reassigned Medicare billing, New Jersey enrollment
  • 401 clinicians in this Medicare group
Medical Oncology
480 RED HILL RD
Middletown, NJ 07748
  • Reassigned Medicare billing, New Jersey enrollment
  • 464 clinicians in this Medicare group
Medical Oncology
136 MOUNTAIN VIEW BLVD
Basking Ridge, NJ 07920
  • Reassigned Medicare billing, New Jersey enrollment
  • 385 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 14

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.

Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
144 services138 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
90 services82 patients
Ct scan of soft tissue of neck with contrast 70491
A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.
74 services74 patients
3d radiographic procedure with computerized image postprocessing 76377
A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.
56 services56 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
49 services48 patients
Mri scan of lower spinal canal before and after contrast 72158
An MRI scan of the lower spinal canal with contrast is a non-invasive imaging procedure. It uses magnetic fields to generate detailed images of your lower spine. A contrast agent is injected to enhance these images, helping doctors see issues more clearly.
43 services43 patients

Hospital Affiliations CMS Care Compare 4

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330045
Location270 Park AvenueHuntington, NY 11743 · Suffolk County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

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.

85.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.05
Improvement Activities40

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
16 GUION PL
NEW ROCHELLE, NY 10801
Emergency Medicine
16 GUION PL, SOUND SHORE MEDICAL CENTER OF WESTCHESTER
NEW ROCHELLE, NY 10801
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Pathology (Anatomic Pathology)
16 GUION PL
NEW ROCHELLE, NY 10801
Internal Medicine
16 GUION PL
NEW ROCHELLE, NY 10801
Surgery
16 GUION PL
NEW ROCHELLE, NY 10801
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801

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 Nathaniel Swinburne's NPI number?

The NPI number for Nathaniel Swinburne is 1952662389. It was assigned to this individual provider in the NPPES registry on June 1, 2012.

Where is Nathaniel Swinburne located?

Nathaniel Swinburne practices at 16 Guion Pl, New Rochelle, NY 10801. The listed phone number is (914) 632-5000.

What is Nathaniel Swinburne's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathaniel Swinburne enrolled in Medicare?

Yes. Nathaniel Swinburne 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 Nathaniel Swinburne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Swinburne reassigns Medicare benefits to 4 organizations: Mskcc Radiology Group (New York, NY), Msk Bergen (Montvale, NJ), Msk Monmouth (Middletown, NJ) and Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey (Basking Ridge, NJ). 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 Nathaniel Swinburne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nathaniel Swinburne affiliated with any hospitals?

According to CMS data, Nathaniel Swinburne is affiliated with Valley Hospital, Riverview Medical Center, Ns/Lij Hs Huntington Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Nathaniel Swinburne was last updated on June 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.