Individual provider Active NPI

Derek Edward Swader, O.D.

  • Optometrist
  • Chanute, KS
National Provider Identifier
1184937070
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1880 Issued in KS
Practice address
32 W Main St
Chanute, KS 66720-1701
Phone
(620) 431-0010
Fax
(620) 431-6959
NPI assigned
Jul 20, 2010
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1880 KS Primary

Addresses

Primary practice location

32 W Main St
Chanute, KS 66720-1701

Mailing address

32 W Main St
Chanute, KS 66720
Phone (620) 431-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000063 KS Practitioner - Optometry 2860685112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derek E Swader OD PAGroup PAC ID 4880824416, 2 clinicians

Practice addresses (Care Compare)

32 W Main St
Chanute, KS 66720-1701
Phone (620) 431-0010

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as individual
Quality
61.16
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1880KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Diana L. Carriger Optometrist LLC Optometrist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1184937070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W MAIN ST",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "66720",
            "telephone_number": "620-431-0010",
            "fax_number": "620-431-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W MAIN ST",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201701",
            "telephone_number": "620-431-0010",
            "fax_number": "620-431-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWADER",
        "first_name": "DEREK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanute, KS

Sources for this page

Verify at the official NPI Registry.