Individual provider Active NPI

Adam Tobias Schwalje, M.D., D.M.A.

  • Otolaryngology Physician
  • Iowa City, IA
National Provider Identifier
1174904890
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
R-10390 Issued in IA
Practice address
200 Hawkins Dr
Dept of Otolaryngology - Head and Neck Surgery
Iowa City, IA 52242-1009
Phone
(319) 356-3574
Fax
(319) 356-4547
NPI assigned
Jun 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X R-10390 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Dept of Otolaryngology - Head and Neck Surgery
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Dept of Otolaryngology - Head and Neck Surgery
Iowa City, IA 52242-1009
Phone (319) 356-3574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220822000768 IL Practitioner - Otolaryngology 7416260682 Reassigns benefits to 2 organizations
I20221024001394 IA Practitioner - Otolaryngology 7416260682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of California, San Francisco School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (309) 779-3100

600 John Deere Rd
Suite 400
Moline, IL 61265-6812
Phone (309) 623-7470

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-10390IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 11, 2024 Accepting new patients
ENT Professional Services, PC CurrentSince Aug 15, 2022 Accepting new patients
ENT Hearing AIDS, LLC PastSince Aug 15, 2022 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

3400 Dexter Ct
Ste 200
Davenport, IA 52807
Phone (563) 344-6600

3385 Dexter Ct
Ste 101
Davenport, IA 52807
Phone (319) 359-1646

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

600 John Deere Rd
Ste 400
Moline, IL 61265
Phone (309) 779-4600

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.237
  • Direct secure messaging: aschwalje@entprofessional.gwaydirect.com
  • Direct secure messaging: aschwalje897221@direct.unitypoint.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1174904890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-3574",
            "fax_number": "319-356-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-3574",
            "fax_number": "319-356-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWALJE",
        "first_name": "ADAM",
        "middle_name": "TOBIAS",
        "name_prefix": "Dr.",
        "credential": "M.D., D.M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "R-10390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.