Active NPI
Kim T. Swanson, M.D.
- Cardiovascular Disease Physician
- Newport Beach, CA
National Provider Identifier
1598816688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G60832
- Practice address
- 1401 Avocado Ave
Suite 303
Newport Beach, CA 92660-8728 - Phone
- (949) 721-1708
- Fax
- (949) 721-1757
- NPI assigned
- Jan 15, 2007
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G60832 | CA | Primary |
Addresses
Primary practice location
1401 Avocado Ave
Suite 303
Newport Beach, CA 92660-8728
Mailing address
1401 Avocado Ave
Suite 303
Newport Beach, CA 92660-8728
Phone (949) 721-1708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G60832 | Other | CA | MEDICAL LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100317000384 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 3577698448 | Practice locations: Newport Beach, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of California, Davis School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1401 Avocado Ave
Newport Beach, CA 92660-8728
Phone (949) 721-1708
Hospital & facility affiliations
- Hoag Home Health
- Hoag Memorial Hospital Presbyterian
- Uci Health-Orange
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.87 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 82.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Heun Chiropractic Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Napa, CA
- NPI 1538422258
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newport Beach, CA
- NPI 1174192892
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1598816688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 AVOCADO AVE",
"address_2": "SUITE 303",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926608728",
"telephone_number": "949-721-1708",
"fax_number": "949-721-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 AVOCADO AVE",
"address_2": "SUITE 303",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926608728",
"telephone_number": "949-721-1708",
"fax_number": "949-721-1757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "KIM",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G60832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE #",
"identifier": "G60832",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.