Individual provider Active NPI

Susan L Swanson, MD

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1942372339
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H4440 Issued in TX
Practice address
6131 Luther LN
Suite 216
Dallas, TX 75225-6223
Phone
(214) 987-2020
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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 H4440 TX Primary

Addresses

Primary practice location

6131 Luther LN
Suite 216
Dallas, TX 75225-6223

Mailing address

6131 Luther LN
Suite 216
Dallas, TX 75225-6223
Phone (214) 987-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101221001180 TX Practitioner - Ophthalmology 9931397692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fagadau and Hawk, M.D LLPGroup PAC ID 6507996519, 5 clinicians

Practice addresses (Care Compare)

6131 Luther LN
Suite 216
Dallas, TX 75225-6200
Phone (214) 987-2020

Merit-based Incentive Payment System (MIPS)

Final score
98.17 of 100Reported as group
Quality
100
Improvement activities
40
Cost
93.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H4440TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fagadau & Hawk, M.D LLP Ophthalmology CurrentSince Aug 30, 2010 Accepting new patients
Lewis Jacob Frazee MD PA Ophthalmology Past Accepting new patients
West Plano Optical Company Past Accepting new patients

Locations

6131 Luther Ln
Ste 216
Dallas, TX 75225
Phone (214) 987-2020

Interoperability endpoints

  • Direct secure messaging: susans@fhs.emadirect.md

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1942372339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 LUTHER LN",
            "address_2": "SUITE 216",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256223",
            "telephone_number": "214-987-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 LUTHER LN",
            "address_2": "SUITE 216",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256223",
            "telephone_number": "214-987-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H4440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.