MICHAEL DYKSTRA MD
NPI 1487278545
Radiology - Radiation Oncology in Ann Arbor, MI
NPI Status: Active since June 04, 2020
Contact Information
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
Phone: (734) 647-5299
- Individual
- Male
- Radiology
- Radiation Oncology
- PECOS Enrolled
About MICHAEL DYKSTRA
This page provides the complete NPI Profile along with additional information for Michael Dykstra, a provider established in Ann Arbor, Michigan with a medical specialization in Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1487278545 assigned on June 2020. The practitioner's primary taxonomy code is 2085R0001X with license number 4301514068 (MI). The provider is registered as an individual and his NPI record was last updated June 2025.
- NPI
- 1487278545
- Provider Name
- MICHAEL DYKSTRA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109
- Location Phone
- (734) 647-5299
- Mailing Address
- 3621 S STATE ST ANN ARBOR, MI 48108
- Mailing Phone
- (734) 647-5299
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-04-2020
- Last Update Date
- 06-27-2025
- Code Navigator
Location Map
Secondary Locations
- 330 Brookline Ave
Boston, MA 02215
(617) 667-7000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Radiation Oncology
- Taxonomy Code
- 2085R0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301514068
- License State
- MI
- Taxonomy Description
- A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | ETLL-958 (MA) |
Medicare Participation & PECOS Enrollment Status
Michael Dykstra is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48109 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $177.36
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $44.34
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.38
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $18.09
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 8 | 7 | 2 | 7 | 8 | 5 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 4 | 7 | 16 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 4 + 7 + 1 + 6 + 5 + 8 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1487278545 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. TAMI L. REMINGTON PHARM.D.
Pharmacist
(Pharmacotherapy)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
DR. JAMES G STEVENSON PHARMD
Pharmacist
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
DR. SALLY K GUTHRIE PHARM.D.
Pharmacist
(Psychiatric)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
DR. KARLA AURORA BLACKWOOD MD
Psychiatry & Neurology
(Psychiatry)
1500 E MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI
ZIP 48109
DEBORAH LOUISE VIHER NP
Nurse Practitioner
1500 E MEDICAL CENTER DR
3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI
ZIP 48109
MS. DEBRA BANCROFT RIZZO F.N.P.-C
Nurse Practitioner
1500 E MEDICAL CENTER DR
3RD TAUBMAN CENTER RECP A
ANN ARBOR, MI
ZIP 48109
DR. ELIZABETH KATHERINE SPELIOTES MD PHD
Internal Medicine
(Gastroenterology)
1500 E MEDICAL CENTER DR
3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI
ZIP 48109
DR. ROBERT ADAM LIOTTA M.D.
Radiology
(Diagnostic Radiology)
1500 E MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI
ZIP 48109
LISA A HARRIS SPINNER CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
1ST FLOOR TAUBMAN CENTER RECP E
ANN ARBOR, MI
ZIP 48109
SHANNON LEE MITCHELL CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI
ZIP 48109
CHRISTINA BUSH CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
MARLENA STANKIEWICZ CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI
ZIP 48109
DENISE R BAUER N.P.
Nurse Practitioner
1500 E MEDICAL CENTER DR
7TH FLOOR MOTT RM F7830
ANN ARBOR, MI
ZIP 48109
MRS. CARRIE LEE LINT RN ACNP
Nurse Practitioner
1500 E MEDICAL CENTER DR
2ND FLOOR TAUBMAN CENTER RECP G
ANN ARBOR, MI
ZIP 48109
MRS. TAMARA MANGAN GHORMLEY NP
Nurse Practitioner
(Family)
1500 E MEDICAL CENTER DR
B1 FLOOR CANCER CTR RECP C
ANN ARBOR, MI
ZIP 48109
ELENA MARTINEZ STOFFEL MD MPH
Internal Medicine
(Gastroenterology)
1500 E MEDICAL CENTER DR
3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI
ZIP 48109
DR. DAVID J BROWN M.D.
Otolaryngology
1500 E MEDICAL CENTER DR
2ND FLOOR TAUBMAN CTR RECP G
ANN ARBOR, MI
ZIP 48109
KEITH GINGERICH CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
MRS. DANIELLE JEANETTE BOZAAN NP
Nurse Practitioner
1500 E MEDICAL CENTER DR
2ND FLOOR TAUBMAN CTR RECP G
ANN ARBOR, MI
ZIP 48109
MARK YAT-FUNG CHIANG MD
Internal Medicine
(Hematology & Oncology)
1500 E MEDICAL CENTER DR
B1 FLOOR CANCER RECP B
ANN ARBOR, MI
ZIP 48109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487278545, enumerated as an "individual" on June 04, 2020.
The provider is located at 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 and the phone number is (734) 647-5299.
Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.
