Active NPI
Patrick Swanson, MD
- Psychosomatic Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- 35058610
- 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.
-
- Community/Behavioral Health Agency
- Covington, KY
- NPI 1386979615
KY
-
- Skilled Nursing Facility
- Radcliff, KY
- NPI 1043686900
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1114346467
-
- Psychiatric Hospital
- Louisville, KY
- NPI 1578871679
-
- Psychiatric Residential Treatment Facility
- Burlington, KY
- NPI 1326754722
-
- Psychiatric Residential Treatment Facility
- Covington, KY
- NPI 1467934315
-
- Psychiatric Residential Treatment Facility
- Burlington, KY
- NPI 1508562380
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
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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 64445 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth of Kentucky | Current | Accepting new patients | |
| Commonwealth of Kentucky | Current | Accepting new patients | |
| Kdpctn | Current | Accepting new patients | |
| Children'S Home of Northern Kentucky | Current | Accepting new patients | |
| Children'S Home of Northern Kentucky | Past | Accepting new patients | |
| Children'S Home of Northern Kentucky | Past | Accepting new patients | |
| Children'S Home of Northern Kentucky | Past | 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
- https://api.qualifacts.org/api/fhir/chnk/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | 35058610 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.