Individual provider Active NPI

Jay V Swanson, M.D.

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1346265675
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27669 Issued in AZ
Practice address
6820 E Brown Rd
Mesa, AZ 85207-3705
Phone
(480) 718-1285
Fax
(480) 718-1301
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27669 AZ Primary

Addresses

Primary practice location

6820 E Brown Rd
Mesa, AZ 85207-3705

Mailing address

PO Box 7060
Chandler, AZ 85246-7060
Phone (480) 576-2409

Other identifiers 1

IdentifierTypeStateIssuer
501917MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050323001046 AZ Practitioner - Family Practice 1951357821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

5620 W Thunderbird Rd
Suite F1
Glendale, AZ 85306-4652
Phone (888) 698-6727

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27669AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Deseret Family Practice, LTD. Family Medicine Current Accepting new patients
Allen Family Medicine PLLC Family Medicine Past Accepting new patients

Locations

3331 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 444-2017

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

1425 S Greenfield Rd
Mesa, AZ 85206
Phone (480) 981-3000

1425 S Greenfield Rd
Ste 1
Mesa, AZ 85206

1425 S Greenfield Rd
Ste 101
Mesa, AZ 85206
Phone (480) 964-5800

1425 S Greenfield Rd
#101101
Mesa, AZ 85206

6820 E Brown Rd
Mesa, AZ 85207
Phone (480) 718-1285

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jay.swanson.1@19654.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4

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, 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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1346265675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7060",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852467060",
            "telephone_number": "480-576-2409",
            "fax_number": "480-718-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073705",
            "telephone_number": "480-718-1285",
            "fax_number": "480-718-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JAY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "27669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501917",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.