Individual provider Active NPI

Joseph Swider, DO

  • Psychiatry Physician
  • Rollingwood, TX
National Provider Identifier
1033156294
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
S4400 Issued in TX
Practice address
3001 Bee Caves Rd Ste 220
Rollingwood, TX 78746-5590
Phone
(512) 777-2591
Fax
(512) 777-2591
NPI assigned
May 31, 2006
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD31874 DC
Psychiatry Physician 2084P0800X S4400 TX Primary

Addresses

Primary practice location

3001 Bee Caves Rd Ste 220
Rollingwood, TX 78746-5590

Mailing address

3001 Bee Caves Rd Ste 200
Rollingwood, TX 78746-5590
Phone (512) 777-2591

Other identifiers 3

IdentifierTypeStateIssuer
7100787MedicaidVA
699557800MedicaidMD
033973300MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20220314000185 TX Practitioner - Psychiatry 8628175791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kotel AtxGroup PAC ID 9537578810, 27 clinicians

Practice addresses (Care Compare)

Austin, TX 78746
Phone (512) 777-2591

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31874DCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Oaks Inc Psychiatry CurrentSince Dec 1, 2006 Accepting new patients
Kotel Atx PLLC CurrentSince Feb 3, 2022 Accepting new patients
River Oaks Inc CurrentSince Dec 1, 2006 Accepting new patients
Spineaustin PA PastSince Jun 2, 2024 Accepting new patients

Locations

1525 River Oaks Rd W
New Orleans, LA 70123
Phone (504) 733-2273

3001 Bee Caves Rd
Ste 220
West Lake Hills, TX 78746

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1033156294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 BEE CAVES RD STE 200",
            "city": "ROLLINGWOOD",
            "state": "TX",
            "postal_code": "787465590",
            "telephone_number": "512-777-2591",
            "fax_number": "512-777-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BEE CAVES RD STE 220",
            "city": "ROLLINGWOOD",
            "state": "TX",
            "postal_code": "787465590",
            "telephone_number": "512-777-2591",
            "fax_number": "512-777-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIDER",
        "first_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD31874",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S4400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100787",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699557800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033973300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rollingwood, TX

Sources for this page

Verify at the official NPI Registry.