Dr Jimmy Mistry, M D is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Suttons Bay, Michigan. His current practice location is
93 W Fourth St Ste B, Suttons Bay, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 271-2002.
Dr Jimmy Mistry is licensed to practice in Michigan (license number 4301031744) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730208810.
Physician's Profile
| Full Name | Dr Jimmy Mistry |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology - Gynecology |
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| Location | 93 W Fourth St Ste B, Suttons Bay, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730208810
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173669397
- Enrollment ID: I20091001000330
Medical Identifiers
Medical identifiers for Dr Jimmy Mistry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730208810 | NPI | - | NPPES |
| 1036581 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 4301031744 (Michigan) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 4301031744 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jimmy Mistry is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Jimmy Mistry, M D 93 W Fourth St Ste B, Suttons Bay, MI 49682-8408 Ph: (231) 271-2002 | Dr Jimmy Mistry, M D 93 W Fourth St Ste B, Suttons Bay, MI 49682-8408 Ph: (231) 271-2002 |
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