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SWATI PATOLIA
NPI 1982952560
Internal Medicine - Infectious Disease in St Louis, MO

Active since August 29, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
10004 KENNERLY RD, STE 295B, ST LOUIS, MO 63128(314) 740-2949(314) 375-5020 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2024, Oct 2, 2023, Nov 13, 2015 (3 updates tracked since 2015).

About Swati Patolia NPPES

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

SWATI PATOLIA (NPI 1982952560) is an individual infectious disease provider in St Louis, Missouri, licensed in Missouri (2015019907) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1982952560
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameSWATI PATOLIA
Location Address10004 KENNERLY RD, STE 295BSt Louis, MO 63128-6312
Mailing Address10004 Kennerly Rd Ste 295bSaint Louis, MO 63128-2177 · (314) 740-2949 · Fax (314) 375-5020
Phone(314) 740-2949
Fax(314) 375-5020
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 29, 2012
Last NPPES UpdateOctober 8, 20243 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1982952560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MO · 2015019907
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2015019907 (MO)
10004 KENNERLY RD, St Louis, MO 63128
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Swati Patolia 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 ID4183934557
PECOS Enrollment IDI20151116000542
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 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.
2,016 services454 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.
615 services181 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.
495 services407 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
238 services113 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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. DAVID EARL GOODMAN DDS
Dentist (General Practice)
10004 KENNERLY RD, SUITE 240
ST LOUIS, MO 63128
St. Louis County (314) 849-3234
DR. ABRAHAM BLAIN MEDARIS MD
Psychiatry & Neurology (Psychiatry)
10004 KENNERLY RD, STE 364B
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4429
VINCENT P FORTUNATO MD LLC
Internal Medicine
10004 KENNERLY RD, 255A
SAINT LOUIS, MO 63128
St. Louis County (314) 843-5140
PAIN CARE INNOVATIONS
Durable Medical Equipment & Medical Supplies
10004 KENNERLY RD, SUITE 250A
SAINT LOUIS, MO 63128
St. Louis County (314) 849-8399
DR. SYLVIA ANN STEILING M.D.
Surgery
10004 KENNERLY RD, STE 137A
SAINT LOUIS, MO 63128
St. Louis County (314) 849-2727
ST ANTHONYS PROFESSIONAL PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
10004 KENNERLY RD, SUITE 130
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4777
FRANK H GAFFORD MD, PC
Internal Medicine (Cardiovascular Disease)
10004 KENNERLY RD, SUITE 283B
SAINT LOUIS, MO 63128
St. Louis County (314) 707-8319
HAND SURGERY ASSOCIATES P C
Specialist
10004 KENNERLY RD, SUITE 259B
SAINT LOUIS, MO 63128
St. Louis County (314) 842-2200

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 Swati Patolia's NPI number?

The NPI number for Swati Patolia is 1982952560. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Swati Patolia located?

Swati Patolia practices at 10004 Kennerly Rd Ste 295B, St Louis, MO 63128. The listed phone number is (314) 740-2949.

What is Swati Patolia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Swati Patolia enrolled in Medicare?

Yes. Swati Patolia 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 Swati Patolia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Swati Patolia 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 Swati Patolia affiliated with any hospitals?

According to CMS data, Swati Patolia is affiliated with Mercy Hospital St Louis, Barnes Jewish Hospital, Mercy Hospital South and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Swati Patolia was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.