Individual provider Active NPI

Gregory A Jaryga, DPM

  • Podiatrist
  • Ft Worth, TX
National Provider Identifier
1265481600
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0983 Issued in TX
Practice address
7100 Oakmont Blvd
Suite 208
Ft Worth, TX 76132-3911
Phone
(817) 346-7481
Fax
(817) 346-7908
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0983 TX Primary

Addresses

Primary practice location

7100 Oakmont Blvd
Suite 208
Ft Worth, TX 76132-3911

Mailing address

7100 Oakmont Blvd
Suite 208
Fort Worth, TX 76132-3911
Phone (817) 346-7481

Other identifiers 1

IdentifierTypeStateIssuer
P00823317OtherTXGROUP MEMEBER INDIVIDUAL RRM PTAN #

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090803000696 TX Practitioner - Podiatry 9830242262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Foot and Ankle Specialists PLLCGroup PAC ID 8820388663, 2 clinicians

Practice addresses (Care Compare)

5801 Oakbend TRL
Suite 140
Fort Worth, TX 76132-3936
Phone (817) 377-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of nail tissue17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Foot & Ankle Specialists, PLLC Podiatrist CurrentSince Aug 5, 2015 Accepting new patients

Locations

5801 Oakbend Trl
Ste 140
Ft Worth, TX 76132
Phone (817) 346-7481

Organizations & group practices 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1265481600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD",
            "address_2": "SUITE 208",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323911",
            "telephone_number": "817-346-7481",
            "fax_number": "817-346-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD",
            "address_2": "SUITE 208",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323911",
            "telephone_number": "817-346-7481",
            "fax_number": "817-346-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARYGA",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEMEBER INDIVIDUAL RRM PTAN #",
            "identifier": "P00823317",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

Verify at the official NPI Registry.