KYLER BENJAMIN DYKES MD
NPI 1720616428
Student in an Organized Health Care Education/Training Program in Beavercreek, OH

Q: What is Kyler Dykes's NPI number?

The NPI number for Kyler Dykes is 1720616428. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Q: What is Kyler Dykes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyler Dykes was last updated on March 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2020PECOS EnrolledAccepts Medicare Assignment

2145 N FAIRFIELD RD STE 100, BEAVERCREEK, OH 45431(937) 558-3900(937) 558-3999 Get Directions Write a Review

NPPES record last updated: March 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kyler Benjamin Dykes Md NPPES

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

KYLER BENJAMIN DYKES MD (NPI 1720616428) is an individual student in an organized health care education/training program in Beavercreek, Ohio and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2020).

NPPES Registry Identity

NPI1720616428

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKYLER BENJAMIN DYKESCredential: MD

Location Address2145 N FAIRFIELD RD STE 100Beavercreek, OH 45431-2783

Mailing Address2145 N Fairfield Rd Ste 100Beavercreek, OH 45431-2783 · (937) 558-3900 · Fax (937) 558-3999

Phone(937) 558-3900

Fax(937) 558-3999

Sole ProprietorYes

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2020

Enumeration DateMarch 29, 2020

NPPES CertifiedMarch 29, 2020

✔ NPI 1720616428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

2145 N FAIRFIELD RD STE 100, Beavercreek, OH 45431

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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

Kyler Benjamin Dykes Md 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 ID8325479710

PECOS Enrollment IDI20230928001808

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.

JAMES M TYTKO MD

Family Medicine