Individual provider Active NPI

J. Michael Tysklind, M.S.,CCC-AUDIOLOGIST

  • Audiologist
  • Des Moines, IA
National Provider Identifier
1952471005
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
213 Issued in IA
Practice address
1200 Pleasant St Ste 301a
Suite 308
Des Moines, IA 50309-1406
Phone
(515) 241-8265
Fax
(515) 241-8332
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 349 IA
Audiologist 231H00000X 213 IA Primary

Addresses

Primary practice location

1200 Pleasant St Ste 301a
Suite 308
Des Moines, IA 50309-1406

Mailing address

1200 Pleasant St # 301a
Des Moines, IA 50309-1406
Phone (515) 241-8265

Other identifiers 1

IdentifierTypeStateIssuer
1414375MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080702000633 IA Practitioner - Qualified Audiologist 9638241805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6435

1206 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6465

410 NW Ash Dr
Ankeny, IA 50023-1552
Phone (515) 964-1101

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
83.65
Promoting interoperability
78
Improvement activities
40
Cost
76.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
213IAMDAudiologist
349IAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Jan 1, 2010 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Jan 1, 2010 Accepting new patients

Locations

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

1200 Pleasant St
#301A
Des Moines, IA 50309

1200 Pleasant St
Ste 301A
Des Moines, IA 50309
Phone (515) 241-8265

1301 Pennsylvania Ave
Ste 308
Des Moines, IA 50316
Phone (515) 263-3732

1200 Pleasant St
Ste P301A
Des Moines, IA 50309
Phone (515) 241-2865

1215 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-6178

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1952471005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST # 301A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-8265",
            "fax_number": "515-241-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST STE 301A",
            "address_2": "SUITE 308",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-8265",
            "fax_number": "515-241-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSKLIND",
        "first_name": "J.",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.S.,CCC-AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "349",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1414375",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.