Dr Sethuraman Swaminathan, MD - Medicare Pediatric Medicine in Miami, FL

Dr Sethuraman Swaminathan, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Miami, Florida. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice University Of Miami and his current practice location is 1611 Nw 12th Ave, Jmh North Wing 109, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 585-6683.

Dr Sethuraman Swaminathan is licensed to practice in Florida (license number ME82252) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982639266.

Contact Information

Dr Sethuraman Swaminathan, MD
1611 Nw 12th Ave, Jmh North Wing 109,
Miami, FL 33136
(305) 585-6683
(305) 324-6012

Map and Direction




Physician's Profile

Full NameDr Sethuraman Swaminathan
GenderMale
SpecialityPediatric Medicine
Experience34 Years
Location1611 Nw 12th Ave, Miami, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sethuraman Swaminathan graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1982639266
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 07/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7416144126
  • Enrollment ID: I20101207001118

Medical Identifiers

Medical identifiers for Dr Sethuraman Swaminathan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982639266NPI-NPPES
2617277-00MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease ME82252 (Florida)Secondary
2080P0202XPediatrics - Pediatric Cardiology ME82252 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson Health SystemMiami, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Miami32747951091820

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. Dr Sethuraman Swaminathan allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Miami
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013967827
PECOS PAC ID: 3274795109
Enrollment ID: O20200406001006

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. Dr Sethuraman Swaminathan 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
Dr Sethuraman Swaminathan, MD
1611 Nw 12th Ave, Jmh North Wing 109,
Miami, FL 33136

Ph: (305) 585-6683
Dr Sethuraman Swaminathan, MD
1611 Nw 12th Ave, Jmh North Wing 109,
Miami, FL 33136

Ph: (305) 585-6683

Reviews and Comments


Pediatrics Doctors in Miami, FL

Dr. Juanita Ann Marie Hunter, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1611 Nw 12th Ave, Miami, FL 33136
Phone: 305-585-6042    
Keerthana Reddy Banala,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1611 Nw 12th Ave # 6006, Miami, FL 33136
Phone: 305-585-6017    Fax: 305-325-0293
Dan Kim Pham,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1611 Nw 12th Ave, Miami, FL 33136
Phone: 954-802-0739    
Dr. Maria Del Pilar Rivero, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1611 Nw 12th Ave, Miami, FL 33136
Phone: 786-466-6908    Fax: 786-466-6920
Stephanie Dechurch, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7800 Sw 87th Ave, C-350, Miami, FL 33173
Phone: 305-271-4711    Fax: 305-271-8732
Gloria E Burgos, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3601 Federal Hwy, Miami, FL 33137
Phone: 305-576-6611    Fax: 305-576-0008
Dr. Teresita Fox, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3100 Sw 62nd Ave, Miami, FL 33155
Phone: 561-624-9188    Fax: 561-514-7217

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.