Individual provider Active NPI

Kristina Bystrak, DPM

  • Foot & Ankle Surgery Podiatrist
  • Media, PA
National Provider Identifier
1326602004
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC007678 Issued in PA
Practice address
101 N Monroe St
Media, PA 19063-3037
Phone
(610) 565-3668
Fax
(610) 565-9722
NPI assigned
Apr 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 SC007678 PA Primary

Addresses

Primary practice location

101 N Monroe St
Media, PA 19063-3037

Mailing address

101 N Monroe St
Media, PA 19063-3037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20250218000656 DE Practitioner - Podiatry 1355724469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandywine Podiatry PAGroup PAC ID 5597700682, 8 clinicians

Practice addresses (Care Compare)

1010 N Bancroft Pkwy
Suite 12
Wilmington, DE 19805-2668
Phone (302) 658-1129

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of skin lesions22
Removal of nail tissue654
Removal or shaving of skin growth264
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1-0010285DEMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandywine Podiatry, PA Podiatrist CurrentSince Feb 10, 2025 Accepting new patients
Brandywine Podiatry, PA Podiatrist CurrentSince Feb 10, 2025 Accepting new patients
CT Family Foot Care and Surgery, LLC Podiatrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

1952 Whitney Ave
Ste 3
New Haven, CT 06517
Phone (203) 288-0129

1010 N Bancroft Pkwy
Ste 12
Wilmington, DE 19805
Phone (302) 658-1129

5311 Limestone Rd
Ste 200
Wilmington, DE 19808
Phone (302) 239-1022

Interoperability endpoints

  • Direct secure messaging: kbystrak588364@direct.ynhh.org
  • Direct secure messaging: kbystrak4216010@direct.trinity-health.org

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 and National Provider Directory roles.

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": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1326602004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MONROE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MONROE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633037",
            "telephone_number": "610-565-3668",
            "fax_number": "610-565-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYSTRAK",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-28",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.