Active NPI
John A. Swanson, M.D.
- Diagnostic Radiology Physician
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036-107236
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Trinity - Bettendorf
- Finley Hospital
- Trinity Muscatine
- Hammond Henry Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35410 | IA | MD | Diagnostic Radiology Physician |
| 036-107236 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| Metro MRI Center Limited Partnership | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
-
- Radiology Clinic/Center
- Moline, IL
- NPI 1700862331
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Geneseo, IL
- NPI 1457344491
-
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
- General Acute Care Hospital
- Dubuque, IA
- NPI 1942392600
-
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
- General Acute Care Hospital
- Muscatine, IA
- NPI 1861444333
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.