Swathi Nimmala
NPI 1851673107 · Internal Medicine Physician · Woonsocket, RI
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Swathi Nimmala is a Internal Medicine Physician provider in Woonsocket, RI (NPI 1851673107).
Provider details
- NPI number
- 1851673107
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 2023-00492 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
7 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
648 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 432 | $73 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 102 | $106 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 50 | $111 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 35 | $162 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 29 | $122 |
Typical Medicare-allowed amounts for these services range $73–$162 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 24 | 24 |
| Furosemide | 21 | 18 |
| Atorvastatin Calcium | 17 | 16 |
| Prednisone | 17 | 17 |
| Metoprolol Succinate | 16 | 11 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 15 | 15 |
| Midodrine Hcl | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$36 across 2 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 (6)
- 800 Tilghman DrDunn, NC 28334-5510Phone: (910) 892-7161
- 501 S Poplar StElizabethtown, NC 28337-9375Phone: (910) 862-5100Fax: (910) 862-5129
- 1638 Owen DrFayetteville, NC 28304-3424Phone: (910) 615-5680Fax: (910) 615-5080
- 215 Brightwater DrLillington, NC 27546-5156Phone: (910) 892-1000
- 210 Medical Pavilion DrRaeford, NC 28376-9111Phone: (910) 904-8000Fax: (910) 904-8445
- 25 1/2 Hotel Cir Ne # 246Albuquerque, NM 87123-1202Phone: (903) 355-8160
Registry dates
- Enumerated
- 2011-09-13
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Frequently asked questions
- What is Swathi Nimmala's NPI number?
- Swathi Nimmala's National Provider Identifier (NPI) is 1851673107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Swathi Nimmala's specialty?
- Swathi Nimmala is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Swathi Nimmala located?
- Swathi Nimmala's practice location on file with NPPES is 115 Cass Ave, Woonsocket, RI 02895-4705.
- What is Swathi Nimmala's phone number?
- The practice phone number listed in the NPPES registry for Swathi Nimmala is (903) 355-8160.
- Does Swathi Nimmala accept Medicare?
- Swathi Nimmala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Swathi Nimmala's NPI active?
- Yes — Swathi Nimmala's NPI (1851673107) is active in the NPPES registry as of the last update on 2026-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.