Active NPI
Annika Evelyn Krystyna, M.D.
- Internal Medicine Physician
- Jamaica Plain, MA
National Provider Identifier
1437365319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 234011
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 234011 | MA | MD | Surgery Physician |
| 252640 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Physician Associates, Inc. | Current | Accepting new patients | |
| Jordan Physician Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Urgent Care of Westwood, LLC | Past | 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.
-
- Psychiatric Hospital
- Westwood, MA
- NPI 1760453328
-
- Family Medicine Physician
- Plymouth, MA
- NPI 1538145131
Internal Medicine
-
- Anatomic Pathology & Clinical Pathology Physician
- Plymouth, MA
- NPI 1194263186
-
- Urgent Care Clinic/Center
- Westwood, MA
- NPI 1326585951
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.