Individual provider Active NPI

Michael Alan Swanson, MD

  • Anesthesiology Physician
  • Davenport, IA
National Provider Identifier
1851377170
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
28552 Issued in IA
Practice address
1227 East Rusholme Street
Davenport, IA 52803-2498
Phone
(563) 421-1000
Fax
(563) 421-7889
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 28552 IA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 28552 IA

Addresses

Primary practice location

1227 East Rusholme Street
Davenport, IA 52803-2498

Mailing address

PO Box 1245
Bettendorf, IA 52722-0021
Phone (563) 324-8160

Other identifiers 1

IdentifierTypeStateIssuer
0083592MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.swanson@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20080813000283 IA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 9537148069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
University of Iowa, RJ & L Carver College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Analgesia PCGroup PAC ID 7810887627, 22 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 324-8160

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28552IAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia & Analgesia PC Anesthesiology CurrentSince Jun 1, 1993 Accepting new patients
Mercy Clinton Anesthesia Group LLC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Anesthesia Intensive Care LLC Past Accepting new patients

Locations

2222 53rd Ave
Bettendorf, IA 52722
Phone (319) 383-2686

2745 Lincoln Way
Clinton, IA 52732
Phone (563) 242-3208

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

3400 Dexter Ct
Ste 105
Davenport, IA 52807
Phone (563) 355-0391

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

3319 Spring St
Ste 202
Davenport, IA 52807
Phone (563) 355-6236

3319 Spring St
Davenport, IA 52807
Phone (319) 359-1641

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

400 10th St E
Waconia, MN 55387

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.

Hospital & facility affiliations 2

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1851377170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527220021",
            "telephone_number": "563-324-8160",
            "fax_number": "563-324-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 EAST RUSHOLME STREET",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032498",
            "telephone_number": "563-421-1000",
            "fax_number": "563-421-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "28552",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IA",
            "license": "28552",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083592",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.swanson@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1227 East Rusholme Street",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528032498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.