DR. DUSTIN DAVID REYKDAL DO
NPI 1154941805
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment
3990 JOHN R ST, DETROIT, MI 48201(313) 745-7233 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dustin David Reykdal Do NPPES

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

DR. DUSTIN DAVID REYKDAL DO (NPI 1154941805) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Mclaren Macomb, and maintains a secondary practice location in Taylor.

NPPES Registry Identity

NPI1154941805
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DUSTIN DAVID REYKDALCredential: DO
Location Address3990 JOHN R STDetroit, MI 48201-2018
Mailing Address3225 Bacon AveBerkley, MI 48072-1150
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2020
Enumeration DateApril 23, 2020
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
NPI 1154941805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 5101027154 (MI)
3990 JOHN R ST, Detroit, MI 48201

Secondary Practice Location 1

Location 110000 Telegraph RdTaylor, MI 48180-3330 · Phone (313) 295-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Dustin David Reykdal Do 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.

PECOS PAC ID4082035605
PECOS Enrollment IDI20231218002738
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

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.

Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Occupational Therapist
3990 JOHN R ST
DETROIT, MI 48201
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Emergency Medicine
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201

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 Dustin Reykdal's NPI number?

The NPI number for Dustin Reykdal is 1154941805. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Dustin Reykdal located?

Dustin Reykdal practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (313) 745-7233.

What is Dustin Reykdal's specialty?

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

Is Dustin Reykdal enrolled in Medicare?

Yes. Dustin Reykdal 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.

Is Dustin Reykdal affiliated with any hospitals?

According to CMS data, Dustin Reykdal is affiliated with Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Dustin Reykdal was last updated on November 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.