Individual provider Active NPI

Brandon Lee Sachwitz, PA-C

  • Physician Assistant
  • Rock Island, IL
National Provider Identifier
1417340837
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
077045 Issued in IA
Practice address
2701 17TH Street
Trinity Medical Center
Rock Island, IL 61201
Phone
(309) 779-2754
Fax
(309) 779-2755
NPI assigned
Mar 10, 2015
Last updated
Mar 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 077045 IA Primary

Addresses

Primary practice location

2701 17TH Street
Trinity Medical Center
Rock Island, IL 61201

Mailing address

8116 Kola St
Dexter, IA 50070-7510
Phone (651) 233-8298

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423001154 IA Practitioner - Physician Assistant 7012235070 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
80.31
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077045IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines River Physicians, LLC CurrentSince Jun 13, 2015 Accepting new patients
Monroe County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Des Moines River Physicians, LLC CurrentSince Jun 13, 2015 Accepting new patients
Monroe County Hospital Physician Assistant CurrentSince Sep 1, 2025 Accepting new patients

Locations

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

Interoperability endpoints

  • Direct secure messaging: bsachwitz3956579@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1417340837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 KOLA ST",
            "city": "DEXTER",
            "state": "IA",
            "postal_code": "500707510",
            "telephone_number": "651-233-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 17TH STREET",
            "address_2": "TRINITY MEDICAL CENTER",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "61201",
            "telephone_number": "309-779-2754",
            "fax_number": "309-779-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHWITZ",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "077045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

Verify at the official NPI Registry.