PIOTR T DYK MD - NEPHROLOGY PC
NPI 1063657872
Internal Medicine - Nephrology in Lake Saint Louis, MO

Active since December 08, 2008
1000 EDGEWATER PT STE 303, LAKE SAINT LOUIS, MO 63367(636) 265-2225(636) 265-0320 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 19, 2024, Jul 19, 2024 (2 updates tracked since 2024).

About Piotr T Dyk Md - Nephrology Pc NPPES

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

PIOTR T DYK MD - NEPHROLOGY PC (NPI 1063657872) is a healthcare organization registered as a nephrology in Lake Saint Louis, Missouri and active in the NPI registry since December 2008. The organization lists Piotr Dyk, President, as its authorized official.

NPPES Registry Identity

NPI1063657872
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePIOTR T DYK MD - NEPHROLOGY PC
Location Address1000 EDGEWATER PT STE 303Lake Saint Louis, MO 63367-2954
Mailing Address1000 Edgewater Pt Ste 303Lake St Louis, MO 63367-2954 · (636) 265-2225 · Fax (636) 265-0320
Fax(636) 265-0320
Organization SubpartNo
Authorized OfficialPiotr DykPresident · (636) 265-2225
Enumeration DateDecember 8, 2008
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1063657872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MO · 36787
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1000 EDGEWATER PT STE 303, Lake Saint Louis, MO 63367

Other Identifiers 1

Medicaid203554118MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Piotr T Dyk Md - Nephrology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Piotr T Dyk MD - Nephrology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1194712927
1000 EDGEWATER PT STE 303
Lake Saint Louis, MO 63367
(636) 265-2225
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Piotr T Dyk MD - Nephrology PC's NPI number?

The NPI number for Piotr T Dyk MD - Nephrology PC is 1063657872. It was assigned to this organization in the NPPES registry on December 8, 2008.

Where is Piotr T Dyk MD - Nephrology PC located?

Piotr T Dyk MD - Nephrology PC is located at 1000 Edgewater Pt Ste 303, Lake Saint Louis, MO 63367. The listed phone number is (636) 265-2225.

What is Piotr T Dyk MD - Nephrology PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Piotr T Dyk MD - Nephrology PC enrolled in Medicare?

Yes. Piotr T Dyk MD - Nephrology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Piotr T Dyk MD - Nephrology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Piotr T Dyk MD - Nephrology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Piotr T Dyk MD - Nephrology PC was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.