JOHN J SZAWALUK M.D.
NPI 1578527495
Internal Medicine - Hypertension Specialist in Cincinnati, OH

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
81.25/100
CMS Quality Rating
11140 MONTGOMERY RD, CINCINNATI, OH 45249(513) 792-7800(513) 792-7807 Get Directions Write a Review

NPPES record last updated: October 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2020, Aug 17, 2017 (2 updates tracked since 2017).

About John J Szawaluk M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN J SZAWALUK M.D. (NPI 1578527495) is an individual hypertension specialist in Cincinnati, Ohio, licensed in Ohio (35083585) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Margaret Mary Community Hospital Inc, and is a graduate of Georgetown University School Of Medicine (1990).

NPPES Registry Identity

NPI1578527495
Entity TypeIndividualMale
Primary Taxonomy207RH0005X
Provider Legal NameJOHN J SZAWALUKCredential: M.D.
Location Address11140 MONTGOMERY RDCincinnati, OH 45249-2309
Mailing Address237 William Howard Taft Rd, 2nd Floor, Cbo2-3Cincinnati, OH 45219-2610 · (513) 792-7800 · Fax (513) 792-7807
Fax(513) 792-7807
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1990
Enumeration DateApril 17, 2006
Last NPPES UpdateOctober 24, 20202 updates tracked since enumeration
NPPES CertifiedOctober 24, 2020
NPI 1578527495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hypertension SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207RH0005X
License Licensed in OH · 35083585
Definition
A Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35083585 (OH)
11140 MONTGOMERY RD, Cincinnati, OH 45249

Other Identifiers 6

Other000000312081Anthem Middletown
Other283921Amerigroup
Medicaid2252397OH
Other3359501Aetna
Other2503954United
Other311438871031Caresource

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John J Szawaluk M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254237019
PECOS Enrollment IDI20040102000571
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 31

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
655 services364 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
587 services575 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
475 services421 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
222 services196 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
195 services194 patients
External counterpulsation, per treatment session G0166
External counterpulsation is a non-invasive treatment for heart disease. It uses cuffs on your legs to increase blood flow to your heart during rest periods of your heartbeat. This can help relieve chest pain and improve exercise tolerance.
162 services23 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151329
Location321 Mitchell AveBatesville, IN 47006 · Franklin County
Emergency services

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360175
Location610 West Main StreetWilmington, OH 45177 · Clinton County
Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361332
Location1275 North High StreetHillsboro, OH 45133 · Highland County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.93
Promoting Interoperability100
Improvement Activities40
Cost57.57

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Radiation Oncology)
11140 MONTGOMERY RD
CINCINNATI, OH 45249
Specialist/Technologist, Other (Orthopedic Assistant)
11140 MONTGOMERY RD
CINCINNATI, OH 45249
Internal Medicine (Clinical Cardiac Electrophysiology)
11140 MONTGOMERY RD
CINCINNATI, OH 45249
Internal Medicine
11140 MONTGOMERY RD, SUITE 2500
MONTGOMERY, OH 45249
Internal Medicine (Interventional Cardiology)
11140 MONTGOMERY RD
CINCINNATI, OH 45249
Audiologist
11140 MONTGOMERY RD
CINCINNATI, OH 45249
Orthopaedic Surgery
11140 MONTGOMERY RD
CINCINNATI, OH 45249
Internal Medicine (Medical Oncology)
11140 MONTGOMERY RD
CINCINNATI, OH 45249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Szawaluk's NPI number?

The NPI number for John Szawaluk is 1578527495. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is John Szawaluk located?

John Szawaluk practices at 11140 Montgomery Rd, Cincinnati, OH 45249. The listed phone number is (513) 792-7800.

What is John Szawaluk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hypertension Specialist, with taxonomy code 207RH0005X.

Is John Szawaluk enrolled in Medicare?

Yes. John Szawaluk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Szawaluk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list John Szawaluk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Szawaluk affiliated with any hospitals?

According to CMS data, John Szawaluk is affiliated with Margaret Mary Community Hospital Inc, Christ Hospital, Clinton Memorial Hospital, Bethesda North and Highland District Hospital.

When was this NPI record last updated?

The NPPES record for John Szawaluk was last updated on October 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.