SWARNA ERRAMREDDI LATHA (M.D) – Family Medicine Physician, NPI 1912013954
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SWARNA ERRAMREDDI LATHA (M.D)
4665 URBANDALE LN N
MINNEAPOLIS, MN 55446
Phone: (763) 478-6769
Type: Mailing
1852 N MASTICK WAY
NOGALES, AZ 856211063
Phone: (520) 761-2128
Fax: (520) 281-1112
Type: Mailing
Ridgeview Excelsior Clinic, 675, Water Street, Excelsior, Hennepin County, Minnesota, 55331, United States
EXCELSIOR, MN 553313063
Phone: (952) 474-4167
Fax: (952) 474-5700
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: 2004-04-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040406000592 | I | Family Practice | MN | TBD |
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.
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 55446)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| - | MN | |
| - | KY | |
| Internal Medicine | MN | |
| - | MN | |
| Cardiovascular Disease (Cardiology) | MN | |
| - | WI | |
| Medical Oncology, Hematology | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| N E U R O S U R G E R Y | CO |
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