Individual provider Active NPI

Jan Margaret Syata, PAC

  • Surgical Physician Assistant
  • Cedar Rapids, IA
National Provider Identifier
1437157930
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
01153 Issued in IA
Practice address
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone
(319) 369-7225
Fax
(319) 369-8950
NPI assigned
Jul 8, 2005
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X 01153 IA Primary

Addresses

Primary practice location

1026 A Ave NE
Cedar Rapids, IA 52402-5036

Mailing address

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000233 IA Practitioner - Physician Assistant 4880799535 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Methodist HospitalGroup PAC ID 6608786751, 82 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7211

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3886

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001153IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Physician Assistant CurrentSince May 28, 2021 Accepting new patients
St. Luke's Methodist Hospital CurrentSince Jun 23, 2021 Accepting new patients
St Luke's Methodist Hospital CurrentSince Jun 23, 2021 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince May 28, 2021 Accepting new patients
State University of Iowa CurrentSince May 16, 2018 Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
State University of Iowa CurrentSince May 16, 2018 Accepting new patients
Mercy Hospital, Iowa City, Iowa Current Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
State University of Iowa Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

202 10th St SE
Ste 225
Cedar Rapids, IA 52403
Phone (319) 364-7101

202 10th St SE
Ste 290
Cedar Rapids, IA 52403
Phone (319) 294-4319

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

540 E Jefferson St
Ste 205
Iowa City, IA 52245
Phone (319) 688-7880

540 E Jefferson St
Ste 400
Iowa City, IA 52245
Phone (319) 339-3400

146 W Dale St
Ste 202
Waterloo, IA 50703
Phone (319) 233-6211

Interoperability endpoints

  • Direct secure messaging: jansyata@mic.allscriptsdirect.net
  • Direct secure messaging: jsyata34690@uihcdirect.org
  • Direct secure messaging: jsyata408488@direct.unitypoint.org

Organizations & group practices 10

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1437157930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-369-7225",
            "fax_number": "319-369-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-369-7225",
            "fax_number": "319-369-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYATA",
        "first_name": "JAN",
        "middle_name": "MARGARET",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "01153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.