DR. JACK R. INYART M.D.
NPI 1629230651
General Practice in Appleton, WI

Q: What is Jack Inyart's NPI number?

The NPI number for Jack Inyart is 1629230651. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Q: What is Jack Inyart's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Inyart was last updated on January 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 01, 2008PECOS Enrolled

610 E LONGVIEW DR STE A, APPLETON, WI 54911(920) 246-1555(920) 743-9982 Get Directions Write a Review

NPPES record last updated: January 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jack R. Inyart M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK R. INYART M.D. (NPI 1629230651) is an individual general practice provider in Appleton, Wisconsin, licensed in Wisconsin (15120) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629230651

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JACK R. INYARTCredential: M.D.

Location Address610 E LONGVIEW DR STE AAppleton, WI 54911-2165

Mailing Address947 S 20th PlSturgeon Bay, WI 54235-1013 · (920) 246-1555 · Fax (920) 743-9982

Phone(920) 246-1555

Fax(920) 743-9982

Sole ProprietorYes

Enumeration DateJuly 1, 2008

Last NPPES UpdateJanuary 18, 2010

✔ NPI 1629230651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in WI · 15120

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

610 E LONGVIEW DR STE A, Appleton, WI 54911

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack R. Inyart M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Inyart's NPI number?

The NPI number for Jack Inyart is 1629230651. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Jack Inyart located?

Jack Inyart practices at 610 E Longview Dr Ste A, Appleton, WI 54911. The listed phone number is (920) 246-1555.

What is Jack Inyart's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jack Inyart enrolled in Medicare?

Yes. Jack Inyart is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Inyart was last updated on January 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.