Active NPI
Robert Gordon Swanson, M.D.
- Radiation Oncology Physician
- St. Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 101788
- Practice address
- 6420 Clayton Rd.
St. Mary'S Health Center
St. Louis, MO 63117-1850 - Phone
- (314) 768-8267
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 251157 | NY | |
| Radiation Oncology Physician | 2085R0001X | 21117 | OK | |
| Radiation Oncology Physician | 2085R0001X | 101788 | MO | Primary |
Addresses
Primary practice location
6420 Clayton Rd.
St. Mary'S Health Center
St. Louis, MO 63117-1850
Mailing address
500 Medical Park
Wentzville, MO 63385
Phone (636) 327-1201
Other practice location 1
1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 364-9000
Other practice location 2
1060 W 10th St
Rolla, MO 65401-2905
Phone (855) 406-3324
Other practice location 3
1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920007163 | Other | OK | RR MEDICARE |
| 03076684 | Medicaid | NY | |
| 100003180B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Washington University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1060 W 10TH St
Rolla, MO 65401-2905
Phone (855) 406-3324
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101788 | MO | MD | Radiation Oncology Physician |
| 21117 | OK | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pcrmc Medical Group, Inc | Current | Accepting new patients | |
| Phelps County Regional Medical Center | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| Phelps County Regional Medical Center | Current | Accepting new patients | |
| Yonkers Radiation Medical Practice, PC | Radiation Oncology | Past | Accepting new patients |
Locations
400 Medical Plz
Ste 10
Lake St Louis, MO 63367
Phone (636) 625-6052
400 Medical Plz
Ste 100
Lake St Louis, MO 63367
Phone (636) 639-8600
1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1060 W 10th St
Rolla, MO 65401
Phone (855) 406-3324
1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
500 Medical Dr
Wentzville, MO 63385
Phone (636) 327-1000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Rolla, MO
- NPI 1124237227
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
-
- Rural Health Clinic/Center
- Rolla, MO
- NPI 1366066037
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- Radiation Oncology Physician
- Yonkers, NY
- NPI 1750361374
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Rolla, MO
- NPI 1346287455
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1114969144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MEDICAL PARK",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "63385",
"telephone_number": "636-327-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 CLAYTON RD.",
"address_2": "ST. MARY'S HEALTH CENTER",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631171850",
"telephone_number": "314-768-8267"
}
],
"practiceLocations": [
{
"address_1": "1000 W 10th St",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654012905",
"country_code": "US",
"telephone_number": "573-364-9000",
"fax_number": "573-426-2108",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1060 W 10th St",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654012905",
"country_code": "US",
"telephone_number": "855-406-3324",
"fax_number": "573-458-8363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 W 10th St",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654012905",
"country_code": "US",
"telephone_number": "573-458-8899",
"fax_number": "573-341-5611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWANSON",
"first_name": "ROBERT",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "251157",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OK",
"license": "21117",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MO",
"license": "101788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "920007163",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03076684",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100003180B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.