Individual provider Active NPI

Scott W Swabb, D.O.

  • Internal Medicine Physician
  • Troy, OH
National Provider Identifier
1194862581
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-005576 Issued in OH
Practice address
3006 N County Road 25a Ste 106
Troy, OH 45373-1373
Phone
(937) 778-1000
Fax
(937) 440-4275
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34-005576 OH Primary

Addresses

Primary practice location

3006 N County Road 25a Ste 106
Troy, OH 45373-1373

Mailing address

3006 N County Road 25a Ste 106
Troy, OH 45373-1373
Phone (937) 778-1000

Other identifiers 1

IdentifierTypeStateIssuer
0988794MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040804000843 OH Practitioner - Internal Medicine 6305817131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Internists, Inc.Group PAC ID 1759469349, 3 clinicians

Practice addresses (Care Compare)

3006 N County Rd
25A Suite 106
Troy, OH 45373-1373
Phone (937) 778-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-005576OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Internists, Inc. Internal Medicine CurrentSince Mar 1, 1998 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3130 N County Road 25A
Ste 207
Troy, OH 45373
Phone (937) 778-1000

3130 N Dixie Hwy
Ste 207
Troy, OH 45373
Phone (937) 335-3518

3006 N Dixie Hwy
Ste 106
Troy, OH 45373
Phone (937) 339-8513

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Upper Valley Medical CenterTroy, OH, CCN 360174 Hospital Corporate Director Jan 1, 2023
Upper Valley Medical CenterTroy, OH, CCN 36T174 Hospital Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1194862581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 N COUNTY ROAD 25A STE 106",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731373",
            "telephone_number": "937-778-1000",
            "fax_number": "937-440-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 N COUNTY ROAD 25A STE 106",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731373",
            "telephone_number": "937-778-1000",
            "fax_number": "937-440-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWABB",
        "first_name": "SCOTT",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-005576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0988794",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.