Active NPI
Robert Alan Swartz, M.D.
- Orthopaedic Surgery Physician
- Sycamore, IL
National Provider Identifier
1962517151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036104871
- Practice address
- 2111 Midlands CT
Sycamore, IL 60178-3125 - Phone
- (815) 758-0000
- Fax
- (815) 758-0094
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036104871 | IL | Primary |
Addresses
Primary practice location
2111 Midlands CT
Sycamore, IL 60178-3125
Mailing address
2111 Midlands CT
Sycamore, IL 60178-3125
Phone (815) 758-0000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036104871 | Medicaid | IL | |
| P00131728 | Other | IL | RAILROAD MEDICARE |
| 01915167 | Other | IL | BLUE CROSS/BLUE SHIELD |
| 089124 | Other | IL | HEALTH ALLIANCE |
| 0359580001 | Other | IL | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1962517151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 MIDLANDS CT",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783125",
"telephone_number": "815-758-0000",
"fax_number": "815-758-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 MIDLANDS CT",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783125",
"telephone_number": "815-758-0000",
"fax_number": "815-758-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARTZ",
"first_name": "ROBERT",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036104871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036104871",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00131728",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "01915167",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "089124",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0359580001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.