Prathibha Venkataswamy, MD - Medicare Internal Medicine in Antioch, CA

Prathibha Venkataswamy, MD is a medicare enrolled "Hospitalist" physician in Antioch, California. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 3901 Lone Tree Way, Antioch, California. You can reach out to her office (for appointments etc.) via phone at (925) 756-1192.

Prathibha Venkataswamy is licensed to practice in California (license number A92785) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396714358.

Contact Information

Prathibha Venkataswamy, MD
3901 Lone Tree Way,
Antioch, CA 94509-6200
(925) 756-1192
Not Available

Map and Direction




Physician's Profile

Full NamePrathibha Venkataswamy
GenderFemale
SpecialityInternal Medicine
Experience26 Years
Location3901 Lone Tree Way, Antioch, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Prathibha Venkataswamy graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1396714358
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 04/03/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5395755375
  • Enrollment ID: I20060504000805

Medical Identifiers

Medical identifiers for Prathibha Venkataswamy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396714358NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A92785 (California)Secondary
208M00000XHospitalist A92785 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Delta Medical CenterAntioch, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387782995

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Prathibha Venkataswamy allows following entities to bill medicare on her behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prathibha Venkataswamy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prathibha Venkataswamy, MD
3687 Mt Diablo Blvd, Suite 200,
Lafayette, CA 94549-3717

Ph: () -
Prathibha Venkataswamy, MD
3901 Lone Tree Way,
Antioch, CA 94509-6200

Ph: (925) 756-1192

Reviews and Comments


Hospitalist Doctors in Antioch, CA

Dr. James Francis Chan, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531
Phone: 925-813-6500    Fax: 925-813-7411
Rohee Krishan, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3901 Lone Tree Way, Antioch, CA 94509
Phone: 925-779-7200    
Ni Mo, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531
Phone: 925-813-6500    
Adedotun A Adewusi, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3901 Lone Tree Way, Antioch, CA 94509
Phone: 925-756-1192    Fax: 925-779-7220
Jingping Hao, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531
Phone: 925-813-6500    
Virginia Kathleen Scialanca, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3901 Lone Tree Way, Antioch, CA 94509
Phone: 925-779-7200    
Lenny Husen, M.D
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3901 Lone Tree Way, Antioch, CA 94509
Phone: 925-779-7200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.