Randall L Dyk, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301076181 Issued in MI

Practice address

670 Mall Dr
Portage, MI 49024-2878

Phone

(269) 491-3263

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

86.43 of 100Reported as group

Quality

75.38

Promoting interoperability

100

Improvement activities

40

Cost

79.38

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paragon Health PC

  dba Kalamazoo Pediatrics

  • Pediatrics Physician
  • Portage, MI
  • NPI 1427848845
  Medicare reassignment NPD
• Paragon Health, PC

  dba Paragon Ophthalmology

  • Ophthalmology Physician
  • Kalamazoo, MI
  • NPI 1275582249
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1033199674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MALL DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242878",
            "telephone_number": "269-350-8434",
            "fax_number": "269-350-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 MALL DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242878",
            "telephone_number": "269-491-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYK",
        "first_name": "RANDALL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301076181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Dumas
• Thomas C Dunne, MD
• Melissa Ann Dusseljee, PA-C
• Henry Dust, MD
• Melissa Dwyer, PHARM.D.
• Mary Anne Dykema, MSW
• Joshua James Dykla, DO
• Andrew Eaton
• Anna Eccleston
• Avery Eddy

• Pediatrics Physician in Portage, MI
• Providers in Portage, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.