Individual provider Active NPI

Krista A Swaninger, M.D.

  • Emergency Medicine Physician
  • Detroit, MI
National Provider Identifier
1457571101
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301084090 Issued in OR
Practice address
22101 Moross Rd
Detroit, MI 48236-2148
Phone
(313) 343-8797
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301084090 OR Primary
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X 4301084090 MI

Addresses

Primary practice location

22101 Moross Rd
Detroit, MI 48236-2148

Mailing address

13386 Forest Ridge Blvd
Sterling Heights, MI 48313-1194
Phone (810) 938-8843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090415000683 OR Practitioner - Emergency Medicine 8527158591 Reassigns benefits to 4 organizations
I20200412000112 WA Practitioner - Emergency Medicine 8527158591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zoomcare Urgent Care LLCGroup PAC ID 0840640470, 19 clinicians
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

17815 SW 65TH Ave
Lake Oswego, OR 97035-5203
Phone (503) 684-8252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301084090ORMDEmergency Medicine Physician
4301084090MIMDHospice and Palliative Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zoomcare Urgent Care LLC CurrentSince Feb 17, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 8, 2012 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Dec 15, 2015 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 8, 2012 Accepting new patients
Peacehealth Networks on Demand, LLC CurrentSince Aug 28, 2024 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Dec 15, 2015 Accepting new patients
Black Hills Emergency Physicians Emergency Medicine Past Accepting new patients
Cep America LLC Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

10221 SE Sunnyside Rd
Clackamas, OR 97015

2490 Willamette St
Ste 4
Eugene, OR 97405
Phone (541) 746-7671

17815 SW 65th Ave
Lake Oswego, OR 97035

607 NE Grand Ave
Portland, OR 97232

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

172 NE Martin Luther King Jr Blvd
Portland, OR 97232

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

2990 Commercial St SE
Ste 160
Salem, OR 97302

Interoperability endpoints

  • Direct secure messaging: krista.swaninger.1@30646.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1457571101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13386 FOREST RIDGE BLVD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131194",
            "telephone_number": "810-938-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANINGER",
        "first_name": "KRISTA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "4301084090",
            "primary": true
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301084090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.