SWATI THACKER (MD) – Psychiatry Physician, NPI 1104960830

SWATI THACKER (MD) is a healthcare provider. based in Colton, California. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. C41122 (CA). The NPI Number for SWATI THACKER (MD) is 1104960830

Main info

Female
55 Years Of Experience
Accepts Medicare Assignment
Name
SWATI THACKER (MD)
NPI
1104960830
Phone
(909) 580-3830
Address
400 N PEPPER AVE
Enumeration Date
16 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9095801000
Graduation Year
1971 (55 years ago)
PAC ID
0840342960
Group Practice PAC ID
0244522159
Professional Enrollment ID
I20090720000549
Address ID
CA923241801CO400XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,134 PSYCHIATRY in CA

Provider Addresses for SWATI THACKER (MD)

  • 400 N PEPPER AVE

    COLTON, CA 923241801

    Phone: (909) 580-3830

    Fax: (909) 580-3814

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090720000549IPsychiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3938$0
99285Emergency department visit with high level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 92324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244522159View full group profile
NameSpecialtyState
-CA
P S Y C H I A T R YCA
P S Y C H I A T R YCA
P S Y C H I A T R YCA
Nurse PractitionerCA
-CA
P S Y C H I A T R YCA
P S Y C H I A T R YCA
-CA
P S Y C H I A T R YCA

Reviews

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Frequently asked questions

How do payers reference SWATI THACKER (MD)?
For SWATI THACKER (MD), use NPI 1104960830 as the unique 10-digit identifier.
Is SWATI THACKER (MD) still an active registrant?
SWATI THACKER (MD) carries an active NPI according to the public dataset.
What expertise is attributed to SWATI THACKER (MD)?
SWATI THACKER (MD)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SWATI THACKER (MD)?
Directory geography for SWATI THACKER (MD) centers on Colton, California.
When was this NPI issued?
Enumeration for SWATI THACKER (MD) is noted as February 16, 2007 where the registry provides it.

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