Individual provider Active NPI

Matthew John Swanic, MD

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1659496909
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13823 Issued in NV
Practice address
9555 S Eastern Ave Ste 260
Las Vegas, NV 89123-8008
Phone
(702) 816-2525
Fax
(702) 586-3562
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 13823 NV Primary

Addresses

Primary practice location

9555 S Eastern Ave Ste 260
Las Vegas, NV 89123-8008

Mailing address

9555 S Eastern Ave Ste 260
Las Vegas, NV 89123-8008
Phone (702) 816-2525

Other identifiers 2

IdentifierTypeStateIssuer
1659496909MedicaidNV
V106518OtherNVMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000265 NV Practitioner - Ophthalmology 2466584040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nevada School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10521 Jeffreys St
Suite 101
Henderson, NV 89052-4181
Phone (702) 816-2525

Merit-based Incentive Payment System (MIPS)

Final score
89.34 of 100Reported as individual
Quality
89.28
Improvement activities
40
Cost
78.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13823NVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Swanic M D PLLC Ophthalmology CurrentSince Jun 3, 2013 Accepting new patients
Jules Stein Eye Institute Medical Group Past Accepting new patients
Eye Care Associates of Nevada Las Vegas, Inc Ophthalmology Past Accepting new patients

Locations

10521 Jeffreys St
Ste 101
Henderson, NV 89052
Phone (702) 816-2525

9555 S Eastern Ave
Ste 260
Las Vegas, NV 89123
Phone (702) 447-0333

Interoperability endpoints

  • Direct secure messaging: mswanic@lasvegaseye.direct.eyemdemr.com

Organizations & group practices 3

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1659496909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 S EASTERN AVE STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238008",
            "telephone_number": "702-816-2525",
            "fax_number": "702-586-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 S EASTERN AVE STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238008",
            "telephone_number": "702-816-2525",
            "fax_number": "702-586-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANIC",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "13823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659496909",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "V106518",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.