NPIMap

Individual provider Active NPI

Mark Edward Swetz, M.D.

  • Family Medicine Physician
  • Orchard Park, NY
National Provider Identifier
1013918879
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
194104 Issued in NY
Practice address
3065 Southwestern Blvd
Suite 206
Orchard Park, NY 14127-1239
Phone
(716) 674-1414
Fax
(716) 674-1473
NPI assigned
Aug 2, 2005
Last updated
May 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 194104 NY Primary

Addresses

Primary practice location

3065 Southwestern Blvd
Suite 206
Orchard Park, NY 14127-1239

Mailing address

3065 Southwestern Blvd
Suite 206
Orchard Park, NY 14127-1239
Phone (716) 674-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000112 NY Practitioner - Family Practice 2264499060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3065 Southwestern Blvd
Suite 206
Orchard Park, NY 14127-1239
Phone (716) 674-1414

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
194104NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark E Swetz MD,PC Family Medicine CurrentSince Jan 3, 2005 Accepting new patients
Mindful Living Center Ny LLC PastSince Oct 13, 2021 Accepting new patients

Locations

3065 Southwestern Blvd
Ste 206
Orchard Park, NY 14127
Phone (716) 674-1414

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1013918879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 SOUTHWESTERN BLVD",
            "address_2": "SUITE 206",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271239",
            "telephone_number": "716-674-1414",
            "fax_number": "716-674-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 SOUTHWESTERN BLVD",
            "address_2": "SUITE 206",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271239",
            "telephone_number": "716-674-1414",
            "fax_number": "716-674-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWETZ",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "194104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.