John A Rialson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901002404 Issued in MI

Practice address

8805 Pine Ridge Dr
Cadillac, MI 49601-7064

Phone

(231) 779-3668

Fax

(231) 779-4496

NPI assigned

Feb 4, 2010

Last updated

Jun 14, 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 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

Specialty

Podiatry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arthur R Jeynes DPM PCGroup PAC ID 1658471743, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097
• Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECBADA/Endpoint/ECBADA
• Direct secure messaging: john.rialson@advfoot.eclinicaldirectplus.com

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.

• Arthur R Jeynes DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Cadillac, MI
  • NPI 1184830234
  Medicare reassignment Care Compare group NPD
• Brian D. Heeringa PC

  dba Northern Michigan Vein Specialists

  • Surgery Physician
  • Traverse City, MI
  • NPI 1023486867
  NPD (past)

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

• Munson Healthcare Cadillac

  dba Munson Healthcare Cadillac Physician Network

  • Family Medicine Physician
  • Cadillac, MI
  • NPI 1487051611

  Hospital

  Care Compare affiliation
• Munson Healthcare Cadillac

  • General Acute Care Hospital
  • Cadillac, MI
  • NPI 1841696754
  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1649502436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 PINE RIDGE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496017064",
            "telephone_number": "231-779-3668",
            "fax_number": "231-779-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 PINE RIDGE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496017064",
            "telephone_number": "231-779-3668",
            "fax_number": "231-779-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIALSON",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-04",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PL60020323",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Reeves
• Resilience Behavioral Health Group
• Heather M Ressler
• Retirement Living Management of Cadillac, L.L.C (Green Acre Cadillac)
• Tessa Rheaume
• Martha Richards
• Victoria Lee Richards, RN, MSN NP-C
• Ritzema Family Dental, P.C.
• Christopher Alan Ritzema, DDS
• Robert Kendell D.O.,P.C.

• Foot & Ankle Surgery Podiatrist in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.