Individual provider Active NPI

Jeffrey Edward Stych, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Traverse City, MI
National Provider Identifier
1275984353
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002642 Issued in MI
Practice address
4001 W Royal Dr
Traverse City, MI 49684-8965
Phone
(231) 935-0666
Fax
(231) 935-1660
NPI assigned
Jun 29, 2016
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002642 MI Primary

Addresses

Primary practice location

4001 W Royal Dr
Traverse City, MI 49684-8965

Mailing address

4001 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 935-0666

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JSTYCH@direct.mhc.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190613002342 MI Practitioner - Podiatry 1456644400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ankle and Foot Associates PLLCGroup PAC ID 2163755703, 3 clinicians
Kalkaska Memorial Health CenterGroup PAC ID 3577536002, 57 clinicians

Practice addresses (Care Compare)

4001 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 935-0666

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue107
Removal of skin lesions24
Removal of nail tissue771
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kalkaska Memorial Health Center Current Accepting new patients
Kalkaska Memorial Health Center CurrentSince Aug 15, 2020 Accepting new patients
Kalkaska Memorial Health Center CurrentSince Aug 15, 2020 Accepting new patients
Kalkaska Memorial Health Center Foot & Ankle Surgery Current Accepting new patients
Ankle & Foot Associates PLLC Foot & Ankle Surgery CurrentSince Jun 10, 2019 Accepting new patients
David P. Sheldon Foot & Ankle Surgery PastSince Jun 10, 2019 Accepting new patients

Locations

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

4001 W Royal Dr
Traverse City, MI 49684
Phone (231) 935-0666

9739 E Cherry Bend Rd
Traverse City, MI 49684
Phone (231) 932-9020

Interoperability endpoints

  • Direct secure messaging: jeffrey.stych@afa.eclinicaldirectplus.com
  • Direct secure messaging: jstych@direct.mhc.net
  • Direct secure messaging: jstych313060@direct.hfhs.org

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

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1275984353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-935-0666",
            "fax_number": "231-934-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-935-0666",
            "fax_number": "231-935-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYCH",
        "first_name": "JEFFREY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JSTYCH@direct.mhc.net",
            "affiliation": "N",
            "address_1": "4001 W Royal Dr",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496848965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.