Individual provider Active NPI

James Matthew Swienconek

  • Foot & Ankle Surgery Podiatrist
  • Solon, OH
National Provider Identifier
1427548882
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.004027 Issued in OH
Practice address
33790 Bainbridge Rd Ste 201
Solon, OH 44139-2982
Phone
(440) 903-1041
NPI assigned
May 11, 2018
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.004027 OH Primary

Addresses

Primary practice location

33790 Bainbridge Rd Ste 201
Solon, OH 44139-2982

Mailing address

26500 Amhearst Cir Apt 208
Beachwood, OH 44122-8504
Phone (219) 746-9331

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922002775 OH Practitioner - Podiatry 5395093900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates of Cleveland, LLCGroup PAC ID 0749556736, 4 clinicians

Practice addresses (Care Compare)

33790 Bainbridge Rd
Suite 201
Solon, OH 44139-2982
Phone (440) 903-1041

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue364
Removal of skin lesions1-10
Removal of nail tissue173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.004027OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Associates of Cleveland, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2021 Accepting new patients

Locations

33790 Bainbridge Rd
Ste 201
Solon, OH 44139
Phone (440) 349-0064

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14786/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jswienconek219952@ehrdirect.uhhospitals.org

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1427548882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26500 AMHEARST CIR APT 208",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441228504",
            "telephone_number": "219-746-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33790 BAINBRIDGE RD STE 201",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392982",
            "telephone_number": "440-903-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIENCONEK",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-11",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.004027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

Verify at the official NPI Registry.