DYLLAN ALFARO
NPI 1548126741
Physician Assistant - Medical in Myrtle Beach, SC

Active since December 31, 2025PECOS Enrolled
823 82ND PKWY, MYRTLE BEACH, SC 29572(843) 449-1010 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 30, 2026, Dec 31, 2025 (2 updates tracked since 2025).

About Dyllan Alfaro NPPES

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

DYLLAN ALFARO (NPI 1548126741) is an individual medical provider in Myrtle Beach, South Carolina, licensed in South Carolina (6275) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1548126741
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDYLLAN ALFARO
Location Address823 82ND PKWYMyrtle Beach, SC 29572-4607
Mailing Address823 82nd PkwyMyrtle Beach, SC 29572-4607 · (843) 449-1010 · Fax (843) 497-6171
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 31, 2025
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1548126741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in SC · 6275
823 82ND PKWY, Myrtle Beach, SC 29572

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dyllan Alfaro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527541879
PECOS Enrollment IDI20260313003709
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.

Nurse Practitioner (Family)
823 82ND PKWY
MYRTLE BEACH, SC 29572
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Physician Assistant
823 82ND PKWY
MYRTLE BEACH, SC 29572
Non-Pharmacy Dispensing Site
823 82ND PKWY
MYRTLE BEACH, SC 29572
Nurse Practitioner (Family)
823 82ND PKWY
MYRTLE BEACH, SC 29572
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572

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 Dyllan Alfaro's NPI number?

The NPI number for Dyllan Alfaro is 1548126741. It was assigned to this individual provider in the NPPES registry on December 31, 2025.

Where is Dyllan Alfaro located?

Dyllan Alfaro practices at 823 82nd Pkwy, Myrtle Beach, SC 29572. The listed phone number is (843) 449-1010.

What is Dyllan Alfaro's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dyllan Alfaro enrolled in Medicare?

Yes. Dyllan Alfaro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dyllan Alfaro was last updated on April 30, 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.