Individual provider Active NPI

Arthur Jeynes, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Cadillac, MI
National Provider Identifier
1659371052
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
AJ002019 Issued in MI
Practice address
8805 Pine Ridge Dr
Cadillac, MI 49601-7064
Phone
(231) 779-3668
Fax
(231) 779-4496
NPI assigned
Jul 28, 2005
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 AJ002019 MI Primary

Addresses

Primary practice location

8805 Pine Ridge Dr
Cadillac, MI 49601-7064

Mailing address

8805 Pine Ridge Dr
Cadillac, MI 49601-7064
Phone (231) 779-3668

Other identifiers 4

IdentifierTypeStateIssuer
4280118MedicaidMI
480031136OtherMIRAILROAD MEDICARE
129572OtherMIPREFERRED CHOICE
5835001OtherMIBLUE CROSS

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
I20070702000440 MI Practitioner - Podiatry 0840211702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1996
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)

8805 Pine Ridge Dr
Cadillac, MI 49601-7064
Phone (231) 779-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue57
Removal of skin lesions13
Removal of nail tissue21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
279NHMDAcupuncturist
AJ002019MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur R Jeynes DPM PC Foot & Ankle Surgery CurrentSince Jan 26, 2001 Accepting new patients
Brian D. Heeringa PC PastSince Jan 26, 2001 Accepting new patients
Feet First Podiatry Inc. Past Accepting new patients
Feet First Podiatry Inc Past Accepting new patients

Locations

8805 Pine Ridge Dr
Cadillac, MI 49601
Phone (231) 779-3668

3865 W Front St
Ste 6
Traverse City, MI 49684
Phone (231) 935-0751

Interoperability endpoints

  • Direct secure messaging: arthur.jeynes@advfoot.eclinicaldirectplus.com

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, 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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1659371052",
    "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": "JEYNES",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "AJ002019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4280118",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480031136",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICE",
            "identifier": "129572",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5835001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.