Shane Matthew Swanson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A86612 Issued in CA

Practice address

1093 Hilltop Dr
Redding, CA 96003-3811

Phone

(530) 221-1565

Fax

(530) 221-3912

NPI assigned

Aug 1, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Minnesota Homeopathic Medicine - NLG, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280

Merit-based Incentive Payment System (MIPS)

Final score

23.01 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76.69

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dignity Health

  dba Dignity Health Mercy Oncology Center

  • Oncology Clinic/Center
  • Redding, CA
  • NPI 1336588870
  Medicare reassignment Care Compare group NPD
• Dignity Health Medical Foundation

  dba Mercy Medical Group, a service of Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1700803418
  Medicare reassignment Care Compare group NPD
• Redding Primary Care Medical Group, Inc

  dba Hilltop Medical Clinic West

  • Clinic/Center
  • Redding, CA
  • NPI 1376669481
  Medicare reassignment NPD
• Dignity Health

  dba Mercy Medical Center Redding

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  NPD
• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - North State, a service of Dignity Healt

  • Multi-Specialty Clinic/Center
  • Redding, CA
  • NPI 1912288432
  NPD
• Redding Primary Care Medical Group, Inc

  dba Hilltop Medical Clinic

  • Urgent Care Clinic/Center
  • Redding, CA
  • NPI 1316966302

  Family Medicine

  NPD

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

• Dignity Health

  dba Mercy Medical Center Redding

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013923598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 HILLTOP DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033811",
            "telephone_number": "530-221-1565",
            "fax_number": "530-221-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 HILLTOP DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033811",
            "telephone_number": "530-221-1565",
            "fax_number": "530-221-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "SHANE",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A86612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "ZZZ11432Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celia Sutton-Pado, MD
• Jessica Denise Sutton, LCSW
• Ryan Sutton
• Yvonne Annette Suyat, CADTPII ,MHACBOI
• Joaleen Swanson, NP
• Thomas Raymond Swanson, M.D.
• Tyler Swanson
• Sara A Swearingen
• Swede Creek Surgical, Inc
• Swell Endeavors Physical Therapy, Inc

• Family Medicine Physician in Redding, CA
• Providers in Redding, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.