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DR. SETHURAMAN SWAMINATHAN MD
NPI 1982639266
Pediatrics - Pediatric Cardiology in Miami, FL

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1611 NW 12TH AVE, JMH NORTH WING 109, MIAMI, FL 33136(305) 585-6683(305) 324-6012 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2020, Dec 9, 2019 (2 updates tracked since 2019).

About Dr. Sethuraman Swaminathan Md NPPES

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

DR. SETHURAMAN SWAMINATHAN MD (NPI 1982639266) is an individual pediatric cardiology provider in Miami, Florida, licensed in Florida (ME82252) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1982639266
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. SETHURAMAN SWAMINATHANCredential: MD
Location Address1611 NW 12TH AVE, JMH NORTH WING 109Miami, FL 33136
Mailing Address1611 Nw 12th Ave, Jmh North Wing 109Miami, FL 33136 · (305) 585-6683 · Fax (305) 324-6012
Phone(305) 585-6683
Fax(305) 324-6012
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 28, 20202 updates tracked since enumeration
NPPES CertifiedJuly 28, 2020
✔ NPI 1982639266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in FL · ME82252
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License ME82252 (FL)
1611 NW 12TH AVE, Miami, FL 33136
Open in Google Maps ↗

Other Identifiers 1

Medicaid2617277-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Dr. Sethuraman Swaminathan 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.

PECOS PAC ID7416144126
PECOS Enrollment IDI20101207001118
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.

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade 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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

DR. AKUA GYANEWAH ASARE MD
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-8264
MARILUZ SANCHEZ PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Miami-Dade County (305) 585-7309
DR. TASHA JOYTI N. D. COOKE TASHA COOKE
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3670
DR. JUANITA ANN MARIE HUNTER M.D.
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6042
WANDA LAVERNE MCGOWAN-BRAYNEN ARNP
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
DR. PERTTI KALEVI HAKALA M.D.
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Miami-Dade County (305) 585-6970
JAYLOU M VELEZ TORRES M.D.
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8381
ANNE-ISABELLE SOPHIA REME MD
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1280

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 Sethuraman Swaminathan's NPI number?

The NPI number for Sethuraman Swaminathan is 1982639266. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Sethuraman Swaminathan located?

Sethuraman Swaminathan practices at 1611 NW 12th Ave Jmh North Wing 109, Miami, FL 33136. The listed phone number is (305) 585-6683.

What is Sethuraman Swaminathan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Sethuraman Swaminathan enrolled in Medicare?

Yes. Sethuraman Swaminathan 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 Sethuraman Swaminathan accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Sethuraman Swaminathan 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 Sethuraman Swaminathan affiliated with any hospitals?

According to CMS data, Sethuraman Swaminathan is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Sethuraman Swaminathan was last updated on July 28, 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.