Individual provider Active NPI

Dmitry Byk, M.D.

  • Psychiatry Physician
  • Davie, FL
National Provider Identifier
1194826511
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME98584 Issued in FL
Practice address
12515 Orange Dr Ste 801
Davie, FL 33330-4309
Phone
(305) 932-5500
Fax
(305) 935-0466
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.086685 OH
Psychiatry Physician 2084P0800X ME98584 FL Primary

Addresses

Primary practice location

12515 Orange Dr Ste 801
Davie, FL 33330-4309

Mailing address

12515 Orange Dr Ste 801
Davie, FL 33330-4309
Phone (954) 574-2804

Other identifiers 1

IdentifierTypeStateIssuer
2731440MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081110000632 FL Practitioner - Psychiatry 2062410640 Reassigns benefits to 1 organization
I20250812001159 TN Practitioner - Psychiatry 2062410640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12515 Orange Dr
Suite 801
Davie, FL 33330-4309
Phone (954) 574-2804

3700 Washington St
Suite 304
Hollywood, FL 33021-8258
Phone (954) 961-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.086685OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee State F & a Payroll CurrentSince May 1, 2025 Accepting new patients
State of Tennessee Current Accepting new patients
State of Tennessee CurrentSince May 1, 2025 Accepting new patients
Dmitry Byk MD PA Psychiatry CurrentSince Jan 7, 2013 Accepting new patients
State of Ohio Office of Budget and Management State Accounting Past Accepting new patients
Psychiatric Professional Services Psychiatry Past Accepting new patients
Advanced Therapeutic Services Inc Past Accepting new patients

Locations

12515 Orange Dr
Ste 801
Davie, FL 33330
Phone (305) 441-2501

3700 Washington St
Ste 304
Hollywood, FL 33021
Phone (954) 820-5860

21110 Biscayne Blvd
Ste 304
Miami, FL 33180
Phone (305) 932-5500

100 Moccasin Bend Rd
Chattanooga, TN 37405
Phone (423) 785-3321

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1194826511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12515 ORANGE DR STE 801",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304309",
            "telephone_number": "954-574-2804",
            "fax_number": "954-284-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12515 ORANGE DR STE 801",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304309",
            "telephone_number": "305-932-5500",
            "fax_number": "305-935-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYK",
        "first_name": "DMITRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-07-03",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.086685",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME98584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2731440",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.