Active NPI
Michael Adam Sycko, RN
- Registered Nurse
- Shelby Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704324932
- Practice address
- 54714 Blue Cloud Dr
Shelby Township, MI 48315-1230 - Phone
- (586) 786-5617
- NPI assigned
- Sep 19, 2021
- Last updated
- Sep 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704324932 | MI | Primary |
Addresses
Primary practice location
54714 Blue Cloud Dr
Shelby Township, MI 48315-1230
Mailing address
54714 Blue Cloud Dr
Shelby Township, MI 48315-1230
Phone (586) 786-5617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Macomb Hospital Corporation
Practice addresses (Care Compare)
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Health Macomb Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients |
Locations
7920 Solutions Ctr Dr
Chicago, IL 60677
7924 Solutions Ctr Dr
Chicago, IL 60677
30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
Interoperability endpoints
- msycko538747@direct.hfhs.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. John Macomb Hospital CRNAs
- Certified Registered Nurse Anesthetist
- Warren, MI
- NPI 1396789434
-
dba St. John Oakland Hospital CRNAs
- Certified Registered Nurse Anesthetist
- Madison Heights, MI
- NPI 1871793505
-
- Certified Registered Nurse Anesthetist
- Clinton Township, MI
- NPI 1528130739
-
dba Henry Ford Macomb Health Center Chesterfield
- Nurse Practitioner
- Chesterfield, MI
- NPI 1952440521
-
dba Henry Ford Warren Hospital
- Social Worker
- Warren, MI
- NPI 1548609761
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- Neonatal Nurse Practitioner
- Clinton Township, MI
- NPI 1912301094
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632009600000",
"number": "1083384234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54714 BLUE CLOUD DR",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483151230",
"telephone_number": "586-786-5617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54714 BLUE CLOUD DR",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483151230",
"telephone_number": "586-786-5617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYCKO",
"first_name": "MICHAEL",
"middle_name": "ADAM",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-19",
"last_updated": "2021-09-19",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704324932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.