Swapna Gummadi, MD
NPI 1962632638 · Hospitalist Physician · West Chester, PA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Swapna Gummadi, MD is a Hospitalist Physician provider in West Chester, PA (NPI 1962632638).
Provider details
- NPI number
- 1962632638
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD459409 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 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
1,199 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 35 Minutes99232 | 747 | $80 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 173 | $116 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 109 | $120 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 85 | $82 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 50 | $133 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 35 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 30 | 16 |
| Apixabanbrand: Eliquis | 27 | 13 |
| Furosemide | 24 | 16 |
| Prednisone | 23 | 22 |
| Atorvastatin Calcium | 21 | — |
| Metoprolol Tartrate | 19 | — |
| Hydralazine Hcl | 17 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-16
- Last updated
- 2016-11-10
Frequently asked questions
- What is Swapna Gummadi's NPI number?
- Swapna Gummadi's National Provider Identifier (NPI) is 1962632638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Swapna Gummadi's specialty?
- Swapna Gummadi is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Swapna Gummadi located?
- Swapna Gummadi's practice location on file with NPPES is 701 E Marshall St, West Chester, PA 19380-4412.
- What is Swapna Gummadi's phone number?
- The practice phone number listed in the NPPES registry for Swapna Gummadi is (610) 431-5000.
- Does Swapna Gummadi accept Medicare?
- Swapna Gummadi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Swapna Gummadi's NPI active?
- Yes — Swapna Gummadi's NPI (1962632638) is active in the NPPES registry as of the last update on 2016-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.