Individual provider Active NPI

Christopher Juels, DPM

  • Foot Surgery Podiatrist
  • Cookeville, TN
National Provider Identifier
1831501824
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
849 Issued in TN
Practice address
105 S Willow Ave
Cookeville, TN 38501-4667
Phone
(931) 526-9518
Fax
(931) 372-7717
NPI assigned
May 23, 2014
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 849 TN Primary

Addresses

Primary practice location

105 S Willow Ave
Cookeville, TN 38501-4667

Mailing address

105 S Willow Ave
Cookeville, TN 38501-4667
Phone (931) 526-9518

Other identifiers 1

IdentifierTypeStateIssuer
Q051926MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjestus@t1ortho.gwaydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20191022001447 TN Practitioner - Podiatry 9032468434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Clinic, PCGroup PAC ID 9638082076, 229 clinicians

Practice addresses (Care Compare)

105 S Willow Ave
Cookeville, TN 38501-4667
Phone (931) 526-9518

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.09 of 100Reported as group
Quality
50.47
Promoting interoperability
99
Improvement activities
40
Cost
67.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue36
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
849TNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Clinic, PC Foot Surgery CurrentSince Aug 1, 2022 Accepting new patients
Campbell Clinic PC CurrentSince Aug 1, 2022 Accepting new patients
Center for Orthopedic Research and Education, LLC Podiatrist Past Accepting new patients
Campbell Clinic Past Accepting new patients

Locations

105 S Willow Ave
Cookeville, TN 38501
Phone (931) 372-7716

105 S Willow Ave
Ste 100
Cookeville, TN 38501
Phone (931) 267-4929

335 W Spring St
Cookeville, TN 38501
Phone (931) 303-0446

35 Taylor Ave
Crossville, TN 38555
Phone (865) 483-8478

1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111

Interoperability endpoints

  • Direct secure messaging: cjuels@t1ortho.gwaydirect.com
  • FHIR API: https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4

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": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1831501824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014667",
            "telephone_number": "931-526-9518",
            "fax_number": "931-372-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014667",
            "telephone_number": "931-526-9518",
            "fax_number": "931-372-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUELS",
        "first_name": "CHRISTOPHER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-23",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TN",
            "license": "849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q051926",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjestus@t1ortho.gwaydirect.com",
            "affiliation": "N",
            "address_1": "105 S Willow Ave",
            "city": "Cookeville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "385014667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.