Individual provider Active NPI

Annika Evelyn Krystyna, M.D.

  • Internal Medicine Physician
  • Jamaica Plain, MA
National Provider Identifier
1437365319
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234011 Issued in MA
Practice address
49 Robinwood Ave
Jamaica Plain, MA 02130-2156
Phone
(617) 522-4400
Fax
(617) 390-1590
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 252640 NY
Surgery Physician 208600000X 252640 NY
Surgery Physician 208600000X 234011 MA
Urology Physician 208800000X 252640 NY
General Practice Physician 208D00000X 252640 NY
General Practice Physician 208D00000X 234011 MA
Internal Medicine Physician 207R00000X 234011 MA Primary

Addresses

Primary practice location

49 Robinwood Ave
Jamaica Plain, MA 02130-2156

Mailing address

49 Robinwood Ave
Jamaica Plain, MA 02130-2156
Phone (617) 522-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20111105000022 MA Practitioner - General PracticePractitioner - General Surgery 8022281195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Westwood Pembroke IncGroup PAC ID 6204740947, 8 clinicians

Practice addresses (Care Compare)

199 Oak St
Pembroke, MA 02359-1912
Phone (781) 829-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234011MAMDSurgery Physician
252640NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Jordan Physician Associates, Inc. Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Urgent Care of Westwood, LLC PastSince Apr 1, 2017 Accepting new patients

Locations

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

Organizations & group practices 4

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1437365319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 ROBINWOOD AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302156",
            "telephone_number": "617-522-4400",
            "fax_number": "617-390-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 ROBINWOOD AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302156",
            "telephone_number": "617-522-4400",
            "fax_number": "617-390-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYSTYNA",
        "first_name": "ANNIKA",
        "middle_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "252640",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "252640",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "234011",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "252640",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "252640",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "234011",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "234011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.