Piotr T Dyk, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

36787 Issued in MO

Practice address

1000 Edgewater PT Ste 303
Lake Saint Louis, MO 63367-2954

Phone

(636) 265-2225

NPI assigned

Oct 6, 2005

Last updated

Sep 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MO

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

Specialty

Nephrology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Lake St Louis Dialysis Dialysis facility, Lake Saint Louis, MO, CCN 262541
• DaVita St. Peters Dialysis Dialysis facility, Saint Peters, MO, CCN 262599
• DaVita Lake St. Louis Home At Home Dialysis facility, Lake Saint Louis, MO, CCN 262641
• SSM St Joseph Hospital West Hospital, Lake Saint Louis, MO, CCN 260200
• SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: pdyk21191@direct-ehr-ssmhc.com
• Direct secure messaging: piotr.dyk@direct.davitaphysiciansolutions.com

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.

• Piotr T Dyk MD - Nephrology PC

  • Nephrology Physician
  • Lake Saint Louis, MO
  • NPI 1063657872
  Medicare reassignment Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dva Healthcare Renal Care Inc

  dba St Peters Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Peters, MO
  • NPI 1790746246

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  dba Lake St Louis At Home

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lake Saint Louis, MO
  • NPI 1396074597

  Dialysis facility

  Care Compare affiliation Name & address match
• SSM Health Care St. Louis

  dba SSM Health St. Joseph Hospital - St. Charles

  • General Acute Care Hospital
  • Saint Charles, MO
  • NPI 1467521146
  Care Compare affiliation
• SSM Health Care St. Louis

  dba SSM Health St Joseph Hospital - Lake Saint Louis

  • General Acute Care Hospital
  • Lake St Louis, MO
  • NPI 1871665380
  Care Compare affiliation

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1194712927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EDGEWATER PT STE 303",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672954",
            "telephone_number": "636-265-2225",
            "fax_number": "636-265-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EDGEWATER PT STE 303",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633672954",
            "telephone_number": "636-265-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYK",
        "first_name": "PIOTR",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "36787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Dawson, D.O.
• Michelle R Difranco, MS CCC-SLP
• Mary Catherine Downen, LPC
• Haley Anne Downs, DPT
• Andrew Drysdale, DC
• Echoes of Hope
• Emily Christine Elmendorf, OTR/L
• Endoscopy Center of St. Louis
• Erik Evans, RN, NNP-BC
• Ashley Fagan, PMHNP-C

• Nephrology Physician in Lake Saint Louis, MO
• Providers in Lake Saint Louis, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.