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SAMUEL PHYLLIP VYORTKIN MD
NPI 1154267227
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 28, 2026
3990 JOHN R ST, DETROIT, MI 48201(313) 745-8040 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Phyllip Vyortkin Md NPPES

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

SAMUEL PHYLLIP VYORTKIN MD (NPI 1154267227) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1154267227
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL PHYLLIP VYORTKINCredential: MD
Location Address3990 JOHN R STDetroit, MI 48201-2018
Mailing Address1550 Kirkway RdBloomfield Township, MI 48302-1321
Phone(313) 745-8040
Sole ProprietorNo
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1154267227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3990 JOHN R ST, Detroit, MI 48201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY DAWN HARRIS CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8521
CAROLINE L TALBERT CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600
CHISAOKWU DURU
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7233
MR. MOHAMED IBRAHIM BAZZI
Occupational Therapist
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (810) 333-1822
DR. SAMIR F FULEIHAN M.D.
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8521
DR. KAMAL K NANGIA
Emergency Medicine
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8040
TODD E HAMILTON CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600
MITCHELL R BRADLEY CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600

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 Samuel Vyortkin's NPI number?

The NPI number for Samuel Vyortkin is 1154267227. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Samuel Vyortkin located?

Samuel Vyortkin practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (313) 745-8040.

What is Samuel Vyortkin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Vyortkin was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.