Prathibha Venkataswamy, M.D
NPI 1396714358 · Hospitalist Physician · Antioch, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prathibha Venkataswamy, M.D is a Hospitalist Physician provider in Antioch, CA (NPI 1396714358).
Provider details
- NPI number
- 1396714358
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- No
- License
- A92785 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
912 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 672 | $132 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 186 | $130 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 54 | $194 |
Typical Medicare-allowed amounts for these services range $130–$194 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 43 | 38 |
| Pantoprazole Sodium | 30 | 27 |
| Prednisone | 24 | 23 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 23 | 23 |
| Naloxone Hcl | 17 | 16 |
| Atorvastatin Calcium | 15 | 13 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2017-04-03
Frequently asked questions
- What is Prathibha Venkataswamy's NPI number?
- Prathibha Venkataswamy's National Provider Identifier (NPI) is 1396714358, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prathibha Venkataswamy's specialty?
- Prathibha Venkataswamy is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Prathibha Venkataswamy located?
- Prathibha Venkataswamy's practice location on file with NPPES is 3901 Lone Tree Way, Antioch, CA 94509-6200.
- What is Prathibha Venkataswamy's phone number?
- The practice phone number listed in the NPPES registry for Prathibha Venkataswamy is (925) 756-1192.
- Does Prathibha Venkataswamy accept Medicare?
- Prathibha Venkataswamy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prathibha Venkataswamy's NPI active?
- Yes — Prathibha Venkataswamy's NPI (1396714358) is active in the NPPES registry as of the last update on 2017-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.