Individual provider Active NPI

Rayna Marsha Dyck, M.D.

  • Dermatology Physician
  • Homewood, AL
National Provider Identifier
1093958878
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD33561 Issued in AL
Practice address
1920 Huntington Rd
Homewood, AL 35209-4104
Phone
(205) 871-7332
Fax
(205) 871-7336
NPI assigned
Apr 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD33561 AL Primary

Addresses

Primary practice location

1920 Huntington Rd
Homewood, AL 35209-4104

Mailing address

1920 Huntington Rd
Homewood, AL 35209-4104
Phone (205) 871-7332

Other identifiers 4

IdentifierTypeStateIssuer
1669989OtherALCIGNA HEALTHSPRINGS
51158160OtherALBCBS
00030002140OtherALUNITED HEALTHCARE
102I072955OtherALMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20141212002110 AL Practitioner - Dermatology 9335461755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCLH, Inc.Group PAC ID 8527104488, 6 clinicians

Practice addresses (Care Compare)

3415 Independence Dr
Suite 200
Birmingham, AL 35209-8314

5406 Hwy 280
Suite A100
Hoover, AL 35242-6593
Phone (205) 871-7332

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as group
Quality
83.52
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions154
Removal or shaving of skin growth1-10
Skin biopsy59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DCLH, Inc. Dermatology CurrentSince Sep 22, 2014 Accepting new patients

Locations

3415 Independence Dr
Ste 200
Birmingham, AL 35209
Phone (205) 871-7332

2908 Central Ave
Ste 150
Homewood, AL 35209
Phone (205) 871-7332

1920 Huntington Rd
Homewood, AL 35209
Phone (205) 871-7332

5406 Highway 280
Ste A100
Hoover, AL 35242
Phone (205) 871-7332

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1093958878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 HUNTINGTON RD",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094104",
            "telephone_number": "205-871-7332",
            "fax_number": "205-871-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 HUNTINGTON RD",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094104",
            "telephone_number": "205-871-7332",
            "fax_number": "205-871-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCK",
        "first_name": "RAYNA",
        "middle_name": "MARSHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "MD33561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHSPRINGS",
            "identifier": "1669989",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51158160",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "00030002140",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "102I072955",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.