Individual provider Active NPI

Patrick Swanson, MD

  • Psychosomatic Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1891900577
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
35058610 Issued in OH
Practice address
9200 Montgomery Rd
Suite C11A
Cincinnati, OH 45242-7789
Phone
(513) 891-6040
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 9

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.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth of Kentucky 28 clinicians

Practice addresses (Care Compare)

4501 Louise Underwood Way
Louisville, KY 40216-3987
Phone 50236823482223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170419001192 KY Practitioner - Psychiatry 1951571264 Reassigns benefits to 2 organizations
I20231109003221 TN Practitioner - Psychiatry 1951571264 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64445TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Kentucky CurrentSince Mar 7, 2016 Accepting new patients
Commonwealth of Kentucky CurrentSince Mar 7, 2016 Accepting new patients
Kdpctn CurrentSince Sep 1, 2023 Accepting new patients
Children'S Home of Northern Kentucky CurrentSince Dec 1, 2025 Accepting new patients
Children'S Home of Northern Kentucky Past Accepting new patients
Children'S Home of Northern Kentucky PastSince Dec 1, 2025 Accepting new patients
Children'S Home of Northern Kentucky PastSince Feb 8, 2023 Accepting new patients

Locations

4836 Idlewild Rd
#B1
Burlington, KY 41005
Phone (859) 261-8768

4836 Idlewild Rd
Burlington, KY 41005
Phone (859) 261-8768

200 Home Rd
Covington, KY 41011
Phone (859) 261-8768

525 W 5th St
Ste 219
Covington, KY 41011
Phone (859) 261-8768

9200 Shelbyville Rd
Ste 531
Louisville, KY 40222

4501 Louise Underwood Way
Louisville, KY 40216
Phone (502) 368-2348

103 Barnes Rd
Ste 1
Williamstown, KY 41097
Phone (859) 261-8768

3901 Central Pike
Ste 500
Hermitage, TN 37076
Phone (502) 792-0236

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/chnk/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 35058610 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

9200 Montgomery Rd
Suite C11A
Cincinnati, OH 45242-7789

Mailing address

9200 Shelbyville Rd Ste 531
Louisville, KY 40222-5132
Phone (502) 792-0236

Other practice location 1

3901 Central Pike Ste 500
Hermitage, TN 37076-3431
Phone (502) 792-0236

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2023.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1891900577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SHELBYVILLE RD STE 531",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225132",
            "telephone_number": "502-792-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 MONTGOMERY RD",
            "address_2": "SUITE C11A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427789",
            "telephone_number": "513-891-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Central Pike Ste 500",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370763431",
            "country_code": "US",
            "telephone_number": "502-792-0236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "OH",
            "license": "35058610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.