Individual provider Active NPI

Joan K Szynal, M.D.

  • Specialist
  • Goshen, IN
National Provider Identifier
1154422434
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01041839A Issued in IN
Practice address
1775 E Kercher Rd
Goshen, IN 46526-6308
Phone
(574) 534-4648
Fax
(574) 537-9048
NPI assigned
Sep 26, 2006
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01041839A IN Primary

Addresses

Primary practice location

1775 E Kercher Rd
Goshen, IN 46526-6308

Mailing address

1775 E Kercher Rd
Goshen, IN 46526-6308
Phone (574) 534-4648

Other identifiers 1

IdentifierTypeStateIssuer
200339920AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20091124000513 IN Practitioner - Physical Medicine and Rehabilitation 2860415767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1775 E Kercher Rd
Goshen, IN 46526-6308
Phone (574) 534-4648

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.92 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michiana Physical Medicine PC CurrentSince Jan 1, 1999 Accepting new patients
Spine Sports and Industrial Rehabilitation of Elkhart PastSince Aug 4, 2006 Accepting new patients
Michiana Physical Medicine Specialist Past Accepting new patients

Locations

1510 Osolo Rd
Elkhart, IN 46514
Phone (574) 266-6100

1615 Winsted Dr
Ste 3
Goshen, IN 46526
Phone (574) 534-4648

1775 E Kercher Rd
Goshen, IN 46526
Phone (574) 533-0300

2138 College Ave
Goshen, IN 46528
Phone (574) 533-0377

2240 Karisa Dr
Ste 3
Goshen, IN 46526
Phone (574) 534-4648

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1154422434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 E KERCHER RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266308",
            "telephone_number": "574-534-4648",
            "fax_number": "574-537-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E KERCHER RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266308",
            "telephone_number": "574-534-4648",
            "fax_number": "574-537-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYNAL",
        "first_name": "JOAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01041839A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200339920A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.