MR. CEDERICK DEON CISTRUNK PA-C
NPI 1770602500
Physician Assistant - Surgical in Detroit, MI
About Mr. Cederick Deon Cistrunk Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CEDERICK DEON CISTRUNK PA-C (NPI 1770602500) is an individual surgical provider in Detroit, Michigan, licensed in Michigan (5601004965) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mr. Cederick Deon Cistrunk Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sinai-Grace Hospital
Acute Care Hospitals · Detroit, MIMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Cederick Cistrunk's NPI number?
The NPI number for Cederick Cistrunk is 1770602500. It was assigned to this individual provider in the NPPES registry on March 29, 2007.
Where is Cederick Cistrunk located?
Cederick Cistrunk practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (313) 745-8040.
What is Cederick Cistrunk's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Cederick Cistrunk enrolled in Medicare?
Yes. Cederick Cistrunk 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.
What insurance does Cederick Cistrunk accept?
Health plans from Priority Health list Cederick Cistrunk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Cederick Cistrunk affiliated with any hospitals?
According to CMS data, Cederick Cistrunk is affiliated with Sinai-Grace Hospital.
When was this NPI record last updated?
The NPPES record for Cederick Cistrunk was last updated on January 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# Mr. Cederick Deon Cistrunk, PA-C · NPI 1770602500
Surgical physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since March 29, 2007.
## Identity
- **NPI:** 1770602500 (Entity type: Individual)
- **Enumerated:** March 29, 2007
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 5601004965 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3990 JOHN R ST, Detroit, MI 48201-2018
- **Phone:** (313) 745-8040
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** January 12, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1770602500) · Data from the CMS NPPES public registry.