Individual provider Active NPI

Steven Victor Stryk, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Canton, MI
National Provider Identifier
1285637165
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
4301059315 Issued in MI
Practice address
1600 S Canton Center Rd
Ste 360
Canton, MI 48188-0004
Phone
(734) 394-2661
Fax
(734) 394-2666
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 4301059315 MI Primary

Addresses

Primary practice location

1600 S Canton Center Rd
Ste 360
Canton, MI 48188-0004

Mailing address

1600 S Canton Center Rd
Ste 360
Canton, MI 48188-0004
Phone (734) 394-2661

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050628000618 MI Practitioner - Allergy/Immunology 1557306719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Michigan Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 S Canton Ctr Rd
Suite 360
Canton, MI 48188-0004
Phone (734) 394-2661

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301059315MIMDAllergy & Immunology (Internal Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: stryk.steven.002.0220061@caa.meditab.direct-ci.com
  • Direct secure messaging: stryk.steven.009.0220061@caa.meditab.direct-ci.com
  • Direct secure messaging: stryk.steven.010.0220061@caa.meditab.direct-ci.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1285637165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S CANTON CENTER RD",
            "address_2": "STE 360",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481880004",
            "telephone_number": "734-394-2661",
            "fax_number": "734-394-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S CANTON CENTER RD",
            "address_2": "STE 360",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481880004",
            "telephone_number": "734-394-2661",
            "fax_number": "734-394-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYK",
        "first_name": "STEVEN",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MI",
            "license": "4301059315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.