RICHARD DYKSTRA
NPI 1154852432
Emergency Medicine in Rocky Mount, VA
About Richard Dykstra NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD DYKSTRA (NPI 1154852432) is an individual emergency medicine provider in Rocky Mount, Virginia, licensed in Virginia (0101267433) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Greensboro.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Richard Dykstra is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Richard Dykstra reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rocky Mount, VA 24151
- Reassigned Medicare billing, Virginia enrollment
- 608 clinicians in this Medicare group
Roanoke, VA 24014
- Reassigned Medicare billing, Virginia enrollment
- 193 clinicians in this Medicare group
Statesville, NC 28677
- Reassigned Medicare billing, North Carolina enrollment
- 580 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carilion Medical Center
Acute Care Hospitals · Roanoke, VACarilion Franklin Memorial Hospital
Acute Care Hospitals · Rocky Mount, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24151 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCKY MOUNT, VA 24151
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 Richard Dykstra's NPI number?
The NPI number for Richard Dykstra is 1154852432. It was assigned to this individual provider in the NPPES registry on March 27, 2017.
Where is Richard Dykstra located?
Richard Dykstra practices at 180 Floyd Ave, Rocky Mount, VA 24151. The listed phone number is (540) 483-5277.
What is Richard Dykstra's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Richard Dykstra enrolled in Medicare?
Yes. Richard Dykstra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Richard Dykstra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Dykstra reassigns Medicare benefits to 3 organizations: Carilion Giles Community Hospital (Rocky Mount, VA), Carilion Medical Center (Roanoke, VA) and Wake Forest Emergency Providers (Statesville, NC). Each 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 Richard Dykstra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Richard Dykstra affiliated with any hospitals?
According to CMS data, Richard Dykstra is affiliated with Carilion Medical Center and Carilion Franklin Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Richard Dykstra was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Richard Dykstra · NPI 1154852432
Emergency Medicine physician in Rocky Mount, Virginia. Individual provider, active in the CMS NPPES registry since March 27, 2017.
## Identity
- **NPI:** 1154852432 (Entity type: Individual)
- **Enumerated:** March 27, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0101267433 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 180 FLOYD AVE, Rocky Mount, VA 24151-1318
- **Phone:** (540) 483-5277 · **Fax:** (540) 489-6453
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Carilion Giles Community Hospital (NPI 1346868486, Rocky Mount, VA); Carilion Medical Center (NPI 1649423815, Roanoke, VA); Wake Forest Emergency Providers (NPI 1396216735, Statesville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wake Forest University School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** May 31, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1154852432) · Data from the CMS NPPES public registry.