Individual provider Active NPI

Daniel L Swagerty Jr., M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Maineville, OH
National Provider Identifier
1992891048
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
35.130348 Issued in OH
Practice address
954 Sedgefield CT
Maineville, OH 45039-7513
Phone
(513) 275-6551
Fax
(513) 880-0849
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 35.130348 OH Primary

Addresses

Primary practice location

954 Sedgefield CT
Maineville, OH 45039-7513

Mailing address

725 University Blvd
Beavercreek, OH 45324-2640
Phone (937) 245-7200

Other practice location 1

725 University Blvd
Beavercreek, OH 45324-2640
Phone (937) 245-7200

Other identifiers 2

IdentifierTypeStateIssuer
080082423OtherRAILROAD MEDICARE
0225441MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OH2 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
I20051031000299 KS Practitioner - Family Practice 1456320555 Reassigns benefits to 1 organization
I20170622000829 OH Practitioner - Geriatric Medicine 1456320555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senectum Medical Group LLCGroup PAC ID 2062859994, 3 clinicians

Practice addresses (Care Compare)

954 Sedgefield CT
Maineville, OH 45039-7513
Phone (513) 275-6551

Hospital & facility affiliations

  • Hospice of Dayton Hospice, Dayton, OH, CCN 361501
  • Friends Extended Care Center Nursing home, Yellow Springs, OH, CCN 365538

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Senectum Medical Group LLC Geriatric Medicine CurrentSince Mar 1, 2024 Accepting new patients
Kansas University Physicians Inc Family Medicine Current Accepting new patients
Kansas University Physicians Inc Family Medicine CurrentSince Apr 1, 1996 Accepting new patients
Kansas University Physicians Inc CurrentSince Apr 1, 1996 Accepting new patients
Friends Health Care Association, Inc Past Accepting new patients
Wright State Physicians Inc Past Accepting new patients

Locations

3901 Rainbow Blvd
#4017
Kansas City, KS 66160
Phone (913) 588-1944

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

150 E Herman St
Yellow Springs, OH 45387
Phone (937) 767-7363

Organizations & group practices 6

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1992891048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY BLVD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "453242640",
            "telephone_number": "937-245-7200",
            "fax_number": "937-245-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 SEDGEFIELD CT",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450397513",
            "telephone_number": "513-275-6551",
            "fax_number": "513-880-0849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "453242640",
            "country_code": "US",
            "telephone_number": "937-245-7200",
            "fax_number": "937-245-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAGERTY",
        "first_name": "DANIEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35.130348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080082423",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225441",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maineville, OH

Sources for this page

Verify at the official NPI Registry.