SWETAPADMA PATTANAIK (DO) – Family Medicine Physician, NPI 1427581883

SWETAPADMA PATTANAIK (DO) is a healthcare provider. based in Jacksonville, Florida. specializing in FAMILY PRACTICE, HOSPICE/PALLIATIVE CARE. They hold the professional credentials DO. They hold a License No. UO5619 (FL). The NPI Number for SWETAPADMA PATTANAIK (DO) is 1427581883

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SWETAPADMA PATTANAIK (DO)
NPI
1427581883
Phone
(904) 953-2000
Address
4500 San Pablo Rd S
Enumeration Date
4 April 2017
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
9529933123
Graduation Year
2017 (9 years ago)
PAC ID
0840561718
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20230519000333
Address ID
MN554162527ST3850XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Digital endpointsOther names

6,723 FAMILY PRACTICE in FL

Provider Addresses for SWETAPADMA PATTANAIK (DO)

  • 4500 San Pablo Rd S

    Jacksonville, FL 322241865

    Phone: (904) 953-2000

    Type: Location

  • 200 1st St SW

    Rochester, MN 559050001

    Phone: (507) 284-2511

    Type: Location

  • 3850 Park Nicollet Blvd

    St Louis Park, MN 554162527

    Phone: (952) 993-3400

    Fax: (952) 993-3286

    Type: Location

  • San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States

    JACKSONVILLE, FL 322241865

    Phone:

    Type: Mailing

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 205 WABASHA ST S

    SAINT PAUL, MN 551071805

    Phone: (651) 293-8100

    Fax: (651) 293-8232

    Type: Location

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: 2023-05-19

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
I20230519000333IFamily PracticeMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32224)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What unique ID ties claims to SWETAPADMA PATTANAIK (DO)?
NPI 1427581883 is assigned to SWETAPADMA PATTANAIK (DO) under the national enumeration system.
Does this profile mean SWETAPADMA PATTANAIK (DO) is currently active?
Yes — SWETAPADMA PATTANAIK (DO) appears active in the national provider directory.
What field does SWETAPADMA PATTANAIK (DO) work in?
You can think of SWETAPADMA PATTANAIK (DO) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place SWETAPADMA PATTANAIK (DO)?
The snapshot lists Jacksonville, Florida for SWETAPADMA PATTANAIK (DO); download NPPES for the complete set.
How can I contact SWETAPADMA PATTANAIK (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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