Active NPI
Robert A Swensen, DPM
- Foot & Ankle Surgery Podiatrist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- P-225
- Practice address
- 1075 N Curtis Road
Ste 300
Boise, ID 83706 - Phone
- (208) 367-3330
- Fax
- (208) 367-3331
- NPI assigned
- Apr 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | P-225 | ID | Primary |
Addresses
Primary practice location
1075 N Curtis Road
Ste 300
Boise, ID 83706
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 367-3330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P-225 | Other | ID | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3025 W Cherry LN
Meridian, ID 83642-8531
323 E Riverside Dr
Suite 224
Eagle, ID 83616-6865
Phone (208) 302-6000
4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000
712 Aviation Way
Caldwell, ID 83605-1154
Phone (208) 302-1035
Hospital & facility affiliations
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Medical Center - Nampa
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 25 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 347 |
| Removal or shaving of skin growth | 217 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-225 | ID | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients |
Locations
6140 W Curtisian Ave
Ste 2
Boise, ID 83704
1075 N Curtis Rd
Ste 200
Boise, ID 83706
Phone (208) 323-0031
1075 N Curtis Rd
Ste 300
Boise, ID 83706
Phone (208) 323-2600
6140 W Curtisian Ave
Ste 200
Boise, ID 83704
Phone (208) 363-9074
712 Aviation Way
Caldwell, ID 83605
Phone (208) 302-7100
323 E Riverside Dr
Ste 224
Eagle, ID 83616
Phone (208) 302-6000
3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342
Interoperability endpoints
- rswensen1564341@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1225354244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E GOLDSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421026",
"telephone_number": "208-367-3330",
"fax_number": "208-367-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 N CURTIS ROAD",
"address_2": "STE 300",
"city": "BOISE",
"state": "ID",
"postal_code": "83706",
"telephone_number": "208-367-3330",
"fax_number": "208-367-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSEN",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-15",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "ID",
"license": "P-225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "P-225",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.