Active NPI
J. Michael Tysklind, M.S.,CCC-AUDIOLOGIST
- Audiologist
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 213
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1414375 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 213 | IA | MD | Audiologist |
| 349 | IA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | 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.
-
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
- Pharmacy
- Des Moines, IA
- NPI 1003352949
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.