NPIMap

Individual provider Active NPI

Casey Swenson, MD

  • Diagnostic Radiology Physician
  • Fargo, ND
National Provider Identifier
1619016458
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
38534 Issued in IA
Practice address
801 Broadway N
Fargo, ND 58102-3641
Phone
(701) 234-2000
NPI assigned
Feb 6, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5917 SD
Diagnostic Radiology Physician 2085R0202X 38534 IA Primary

Addresses

Primary practice location

801 Broadway N
Fargo, ND 58102-3641

Mailing address

200 Hawkins Dr
Dept of Radiology
Iowa City, IA 52242-1007
Phone (319) 356-2188

Other practice location 1

200 Hawkins Dr
dept of radiology
Iowa City, IA 52242-1007
Phone (319) 356-2188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX, ND3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090305000689 SD Practitioner - Diagnostic RadiologyPractitioner - Family Practice 9931176229 Reassigns benefits to 5 organizations
I20160217001230 TX Practitioner - Diagnostic Radiology 9931176229 Reassigns benefits to 2 organizations
I20170524002658 ND Practitioner - Diagnostic Radiology 9931176229 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Washington University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera Queen of PeaceGroup PAC ID 9335050806, shared by 12 NPIs, 122 clinicians
Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians
Madison Community HospitalGroup PAC ID 3779579743, 46 clinicians
Avera MarshallGroup PAC ID 5799695227, 102 clinicians

Practice addresses (Care Compare)

Fargo, ND 58104
Phone (605) 995-6337

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

323 SW 10TH St
Madison, SD 57042-3200
Phone (605) 256-6551

401 W Glynn Dr
Avera St Benedict Hospital
Parkston, SD 57366-9605
Phone (605) 928-3311

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-2234

601 E 7TH St
Platte, SD 57369-2123

604 1St St NE
Avera Weskota Med CNT
Wessington Springs, SD 57382-2166
Phone (605) 539-1201

715 Hackberry Dr S
Fargo, ND 58104-6258
Phone (605) 322-4878

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5917SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Mar 27, 2017 Accepting new patients
Avera McKennan Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Avera Queen of Peace Diagnostic Radiology CurrentSince Jul 13, 2022 Accepting new patients
Rosebud Indian Health Service CurrentSince Dec 29, 2015 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Avera Queen of Peace CurrentSince Jul 13, 2022 Accepting new patients
Avera Queen of Peace CurrentSince Sep 19, 2023 Accepting new patients
Avera McKennan CurrentSince Jul 1, 2022 Accepting new patients
Avera Marshall CurrentSince Dec 23, 2022 Accepting new patients
Madison Community Hospital CurrentSince Jul 1, 2022 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Jul 1, 2022 Accepting new patients
Rosebud Indian Health Service CurrentSince Dec 29, 2015 Accepting new patients
Madison Community Hospital CurrentSince Jul 1, 2022 Accepting new patients
Avera Marshall CurrentSince Dec 23, 2022 Accepting new patients

Locations

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

323 SW 10th St
Madison, SD 57042
Phone (605) 256-6551

2200 N Kimball St
#700
Mitchell, SD 57301
Phone (605) 996-1159

2200 N Kimball St
Ste 700
Mitchell, SD 57301
Phone (605) 996-0381

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 31

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619016458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF RADIOLOGY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421007",
            "telephone_number": "319-356-2188",
            "fax_number": "319-356-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581023641",
            "telephone_number": "701-234-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_2": "dept of radiology",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421007",
            "country_code": "US",
            "telephone_number": "319-356-2188",
            "fax_number": "319-356-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "5917",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "38534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.