Gregory M Jansyn, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

016-003968 Issued in IL

Practice address

303 E Army Trail Rd
Suite # 101
Bloomingdale, IL 60108-2169

Phone

(630) 893-3668

Fax

(630) 893-3670

NPI assigned

Oct 17, 2006

Last updated

Jan 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elmhurst Foot and Ankle Center IncGroup PAC ID 7315488228, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchicago Medicine Adventhealth Glenoaks Hospital, Glendale Heights, IL, CCN 140292

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Elmhurst Foot & Ankle Center Inc

  • Foot & Ankle Surgery Podiatrist
  • Elmhurst, IL
  • NPI 1598508186

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD
• Suburban Podiatry Associates, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Bloomingdale, IL
  • NPI 1073817805

  Primary Podiatric Medicine

  Medicare reassignment NPD Authorized official
• Palm Sands Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Hallandale Beach, FL
  • NPI 1548446354
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Glenoaks Hospital

  dba Adventhealth Glenoaks

  • Psychiatric Hospital Unit
  • Glendale Heights, IL
  • NPI 1477572949
  Care Compare affiliation
• Adventist Glenoaks Hospital

  dba Adventhealth Glenoaks

  • General Acute Care Hospital
  • Glendale Heights, IL
  • NPI 1760415939
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294531200000",
    "number": "1639250632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD",
            "address_2": "SUITE 101",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082169",
            "telephone_number": "630-893-3668",
            "fax_number": "630-893-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD",
            "address_2": "SUITE # 101",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082169",
            "telephone_number": "630-893-3668",
            "fax_number": "630-893-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSYN",
        "first_name": "GREGORY",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016-003968",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-003968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Jacob, APN
• Susan Jacob, M.C.
• Jaffery Eyecare
• Syed Jaffery
• Nicole Marie Jano, PA-C
• Cristiane Gurgel DO Amaral Jereissati
• Andre Jham
• Raquel Martuchi Jham, D.D.S.
• Elizabeth Anne Johansson, LCPC
• Alicia Ann Johnson, PA-C

• Primary Podiatric Medicine Podiatrist in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Primary Podiatric Medicine Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2011; 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.

Verify at the official NPI Registry.