Individual provider Active NPI

John A. Swanson, M.D.

  • Diagnostic Radiology Physician
  • Moline, IL
National Provider Identifier
1609877265
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-107236 Issued in IL
Practice address
615 Valley View Dr.
Suite 202
Moline, IL 61265-6180
Phone
(309) 762-1072
Fax
(309) 762-1094
NPI assigned
Aug 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 63802-20 WI
Diagnostic Radiology Physician 2085R0202X 35410 IA
Diagnostic Radiology Physician 2085R0202X 036-107236 IL Primary

Addresses

Primary practice location

615 Valley View Dr.
Suite 202
Moline, IL 61265-6180

Mailing address

615 Valley View Dr.
Suite 202
Moline, IL 61265-6180
Phone (309) 762-1072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL, WI, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040507001315 IA Practitioner - Diagnostic Radiology 9133118821 Reassigns benefits to 1 organization
I20040714000812 IL Practitioner - Diagnostic Radiology 9133118821 Reassigns benefits to 3 organizations
I20150331000025 WI Practitioner - Diagnostic Radiology 9133118821 Reassigns benefits to 1 organization
I20220411001657 FL Practitioner - Diagnostic Radiology 9133118821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology, S.C.Group PAC ID 2365339207, 57 clinicians

Practice addresses (Care Compare)

1001 Penn Ave
Ottumwa, IA 52501-6427
Phone (309) 762-1072

1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (309) 762-1072

2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 762-1072

304 Franklin St
Keosauqua, IA 52565-1164
Phone (309) 762-1072

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
Phone (309) 762-1072

500 Messenger Rd
Keokuk, IA 52632-2117
Phone (309) 762-1072

507 S Monroe St
Lancaster, WI 53813-2054
Phone (309) 762-1072

600 N College Ave
Geneseo, IL 61254-1091
Phone (309) 762-1072

615 Valley View Dr
Moline, IL 61265-6150
Phone (309) 762-1072

6580 165TH St
Albia, IA 52531-8793
Phone (309) 762-1072

7574 Tori Way
Lakewood Ranch, FL 34202-4082
Phone (309) 762-1072

Hospital & facility affiliations

  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Finley Hospital Hospital, Dubuque, IA, CCN 160117
  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013
  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35410IAMDDiagnostic Radiology Physician
036-107236ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Aug 8, 2025 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Nov 14, 2022 Accepting new patients
Metro MRI Center Limited Partnership CurrentSince Jul 12, 2004 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

1946 Tyler St
Ste 14
Hollywood, FL 33020
Phone (754) 210-5359

4480 Utica Ridge Rd
Ste 120
Bettendorf, IA 52722
Phone (563) 355-2210

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

615 Valley View Dr
Ste 101
Moline, IL 61265
Phone (309) 743-0445

615 Valley View Dr
Ste 102
Moline, IL 61265
Phone (309) 762-7227

615 Valley View Dr
Ste 202
Moline, IL 61265
Phone 3097621072311

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

Interoperability endpoints

  • Direct secure messaging: jswanson92523@direct.unitypoint.org

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 and National Provider Directory roles.

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1609877265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 VALLEY VIEW DR.",
            "address_2": "SUITE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656180",
            "telephone_number": "309-762-1072",
            "fax_number": "309-762-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 VALLEY VIEW DR.",
            "address_2": "SUITE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656180",
            "telephone_number": "309-762-1072",
            "fax_number": "309-762-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "63802-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "35410",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-107236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.