STEFAN DYLEWSKI
NPI 1841678844
General Practice in Grand Rapids, MI

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment
1959 E PARIS AVE SE, GRAND RAPIDS, MI 49546(616) 808-2695 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stefan Dylewski NPPES

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

STEFAN DYLEWSKI (NPI 1841678844) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (4301509420) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in North Myrtle Beach, and is a graduate of Michigan State University College Of Human Medicine (2015).

NPPES Registry Identity

NPI1841678844
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSTEFAN DYLEWSKI
Location Address1959 E PARIS AVE SEGrand Rapids, MI 49546-6272
Mailing Address2180 Waterview Dr, Unit 142North Myrtle Beach, SC 29582-9370 · (616) 821-8132
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2015
Enumeration DateMay 11, 2015
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
NPI 1841678844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in MI · 4301509420
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License LL38536 (SC)
1959 E PARIS AVE SE, Grand Rapids, MI 49546

Secondary Practice Location 1

Location 12180 Waterview Dr, unit 142North Myrtle Beach, SC 29582-9370 · Phone (616) 821-8132

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

Stefan Dylewski 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 ID1759676992
PECOS Enrollment IDI20250715000773
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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Acupuncturist
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Physician Assistant
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Internal Medicine
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546

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 Stefan Dylewski's NPI number?

The NPI number for Stefan Dylewski is 1841678844. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Stefan Dylewski located?

Stefan Dylewski practices at 1959 E Paris Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 808-2695.

What is Stefan Dylewski's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Stefan Dylewski enrolled in Medicare?

Yes. Stefan Dylewski 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.

When was this NPI record last updated?

The NPPES record for Stefan Dylewski was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.