DYLAN ROBERT HAYNES MD
NPI 1437773892
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since June 02, 2020PECOS Enrolled
3600 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-7883 Get Directions Write a Review

NPPES record last updated: May 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dylan Robert Haynes Md NPPES

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

DYLAN ROBERT HAYNES MD (NPI 1437773892) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT226482) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1437773892
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDYLAN ROBERT HAYNESCredential: MD
Location Address3600 SPRUCE STPhiladelphia, PA 19104-4211
Mailing Address3600 Spruce StPhiladelphia, PA 19104-4211 · (215) 662-7883
Sole ProprietorNo
Enumeration DateJune 2, 2020
Last NPPES UpdateMay 3, 2025
NPPES CertifiedMay 3, 2025
NPI 1437773892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Licenses Licensed in PA · MT226482 Licensed in OR · PG198810
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 ListedDermatologyTaxonomy 207N00000X · License MD488052 (PA)
3600 SPRUCE ST, Philadelphia, PA 19104

Secondary Practice Location 1

Location 15050 NE Hoyt St Ste 540Portland, OR 97213-2985 · Phone (503) 215-6600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dylan Robert Haynes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Dermatology
3600 SPRUCE ST, 2 MALONEY BLDG
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Internal Medicine
3600 SPRUCE ST, 839 WEST GATES
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104

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 Dylan Haynes's NPI number?

The NPI number for Dylan Haynes is 1437773892. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Dylan Haynes located?

Dylan Haynes practices at 3600 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-7883.

What is Dylan Haynes's specialty?

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

Is Dylan Haynes enrolled in Medicare?

Yes. Dylan Haynes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dylan Haynes was last updated on May 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.