NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1437387016
Verify on CMS → Swathi Sanghi
Internal Medicine Physician in Brick, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
256
Medicare Part D claims · 66 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
100/100
▲ 17 pts above national avg 83.5 · Exceptional
What the federal data shows
Swathi Sanghi reported a CMS MIPS final score of 100/100 - above the 83.5 national average - and filed 256 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 256
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥92nd
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Swathi Sanghi's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
100 ≥ 92nd percentile 92% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Swathi Sanghi sits
This provider among internal medicine physician peers
Across the 34,612 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Swathi Sanghi writes more Part D claims than 30% of them and scores higher on MIPS quality than 93% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Swathi Sanghi. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Swathi Sanghi practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Swathi Sanghi?
High performer (top quartile)Primary specialty
Internal Medicine Physician
Medicare Part D claims
256 91% vs specialty avg
MIPS final score
100/100 16.5 pts vs avg
Specialty distribution in New Jersey
How Internal Medicine Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Swathi Sanghi's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 100/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 100/100 vs national avg 83.5
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Swathi Sanghi appears in the CMS NPPES registry as an Internal Medicine Physician provider at 425 JACK MARTIN BLVD, Brick, NJ, 08724, with a listed phone of (732) 836-4817. NPI 1437387016 was issued on 06/23/2009.
Medicare Part D records for calendar year 2023 show 256 prescription claims written by this provider, covering 66 Medicare beneficiaries and totaling roughly $14K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the 83.5 average among clinicians with a measured score.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1437387016 |
|---|---|
| Specialty | Internal Medicine Physician |
| Gender | Female |
| NPI Issued | 06/23/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Measured-score avg: 83.5
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Swathi Sanghi bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Virtua Medical Group, PA
Voorhees, NJ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
256
Total Claims
$14K
Total Drug Cost
66
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 261
- Total Day Supply
- 5,287
- Generic Drug Cost
- $4K
- Antibiotic Claims
- 39
Patient Demographics
- Average Patient Age
- 76.6 years
- Avg HCC Risk Score
- 2.19
- Gender Split
- 61% female / 39% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Swathi Sanghi prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amlodipine Besylate
Amlodipine Besylate
15 claims
- Carvedilol
Carvedilol
13 claims
- Cefuroxime
Cefuroxime
13 claims
- Pantoprazole Sodium
Pantoprazole Sodium
12 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 15 |
| Carvedilol | 13 |
| Cefuroxime Cefuroxime Axetil | 13 |
| Pantoprazole Sodium | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Swathi Sanghi fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Swathi Sanghi's 256 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Sanghi.
Dr. Joseph Aaron
MD, FACP
Short Hills, NJ
Dr. Sirike Aasmaa
DO
Montville, NJ
Dr. Holly Abate Bersalona
M.D.
Sea Girt, NJ
Dr. Kaniz Zehra Abbas
MD
Trenton, NJ
Dr. Shahida Abbas
MD
Old Bridge, NJ
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Swathi Sanghi's specialty? ▼
Swathi Sanghi specializes in Internal Medicine Physician and practices in Brick, New Jersey.
How much does Swathi Sanghi prescribe under Medicare Part D? ▼
In 2023, Swathi Sanghi wrote 256 Medicare Part D claims totaling $14K in drug costs for 66 beneficiaries.
What is Swathi Sanghi's Medicare quality score? ▼
Swathi Sanghi has a CMS MIPS Final Score of 100/100. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Swathi Sanghi located? ▼
Swathi Sanghi is located at 425 JACK MARTIN BLVD, Brick, NJ, 08724. Phone: (732) 836-4817.
What is Swathi Sanghi's NPI number? ▼
Swathi Sanghi's National Provider Identifier (NPI) is 1437387016, issued on 06/23/2009.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Swathi Sanghi prescribe most often? ▼
Based on 2023 Medicare Part D data, Swathi Sanghi's most frequently prescribed drugs include Amlodipine Besylate, Carvedilol, Cefuroxime. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Swathi Sanghi accept Medicare? ▼
Swathi Sanghi appears in CMS Medicare data with 256 Part D claims and 66 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Swathi Sanghi's credentials? ▼
Swathi Sanghi's NPI is 1437387016. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.