Swati Prasad, MD, MBBS
NPI 1538471917 · Hospitalist Physician · Jacksonville, FL
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Swati Prasad, MD, MBBS is a Hospitalist Physician provider in Jacksonville, FL (NPI 1538471917).
Provider details
- NPI number
- 1538471917
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MBBS
- Sex
- Female
- Sole proprietor
- No
- License
- 56405 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
444 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 276 | $169 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 116 | $128 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 52 | $47 |
Typical Medicare-allowed amounts for these services range $47–$169 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$402 across 18 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 677 Church St Ne # 111Marietta, GA 30060-1101Phone: (770) 793-7750
- 400 E 3rd StEssentia Health Duluth ClinicDuluth, MN 55805-1951Phone: (218) 786-8364
Registry dates
- Enumerated
- 2010-07-13
- Last updated
- 2021-01-06
- Certified
- 2021-01-06
Frequently asked questions
- What is Swati Prasad's NPI number?
- Swati Prasad's National Provider Identifier (NPI) is 1538471917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Swati Prasad's specialty?
- Swati Prasad is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Swati Prasad located?
- Swati Prasad's practice location on file with NPPES is 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205.
- What is Swati Prasad's phone number?
- The practice phone number listed in the NPPES registry for Swati Prasad is (904) 202-3860.
- Does Swati Prasad accept Medicare?
- Swati Prasad is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Swati Prasad's NPI active?
- Yes — Swati Prasad's NPI (1538471917) is active in the NPPES registry as of the last update on 2021-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.