Individual provider Active NPI

Jeffrey A Szczepanski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Traverse City, MI
National Provider Identifier
1649261348
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001932 Issued in MI
Practice address
10161 E Pickwick CT Ste E
Traverse City, MI 49684-5239
Phone
(231) 935-8800
Fax
(231) 935-8801
NPI assigned
Nov 2, 2005
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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 5901001932 MI Primary

Addresses

Primary practice location

10161 E Pickwick CT Ste E
Traverse City, MI 49684-5239

Mailing address

10161 E Pickwick CT Ste E
Traverse City, MI 49684-5239
Phone (231) 935-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070827000562 MI Practitioner - Podiatry 3971521626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10161 E Pickwick CT
Suite E
Traverse City, MI 49684-5239
Phone (231) 935-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue70
Removal of nail tissue379
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901001932MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Foot and Ankle Specialists Foot & Ankle Surgery Current Accepting new patients
Great Lakes Foot & Ankle Specialist, PLLC Foot & Ankle Surgery CurrentSince Aug 1, 2007 Accepting new patients
Foot Healthcare Associates P.C. Foot & Ankle Surgery PastSince Apr 30, 2003 Accepting new patients

Locations

10161 E Pickwick Ct
Ste E
Traverse City, MI 49684
Phone (231) 935-0888

3537 W Front St
Ste C
Traverse City, MI 49684
Phone (231) 935-8800

4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900

4977 Skyview Ct
Traverse City, MI 49684
Phone (231) 421-6599

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBHFCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBHFCA/Endpoint/DBHFCA
  • Direct secure messaging: jeffrey.szczepanski@glfas.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1649261348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10161 E PICKWICK CT STE E",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845239",
            "telephone_number": "231-935-8800",
            "fax_number": "231-935-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 E PICKWICK CT STE E",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845239",
            "telephone_number": "231-935-8800",
            "fax_number": "231-935-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZCZEPANSKI",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.