NPIMap

Individual provider Active NPI

Saleh F Dyke, MD

  • Family Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1477511145
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301066747 Issued in MI
Practice address
1471 E Beltline Ave NE
Ste 201
Grand Rapids, MI 49525-4548
Phone
(616) 685-8620
Fax
(616) 447-7674
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301066747 MI Primary

Addresses

Primary practice location

1471 E Beltline Ave NE
Ste 201
Grand Rapids, MI 49525-4548

Mailing address

245 State St SE
Ste 228
Grand Rapids, MI 49503-4328

Other identifiers 6

IdentifierTypeStateIssuer
4821601MedicaidMI
4771045MedicaidMI
4770932MedicaidMI
1598712390OtherMIGROUP NPI
4771152MedicaidMI
4773845MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728000344 MI Practitioner - Family Practice 4880622166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Michigan Geriatric Associates, PLLCGroup PAC ID 8921387473, 3 clinicians

Practice addresses (Care Compare)

2050 N Haggerty Rd
Suite 260
Canton, MI 48187-3796
Phone (248) 756-3447

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066
  • Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059
  • Select Specialty Hospital - Corewell Health GR Long-term care hospital, Grand Rapids, MI, CCN 232029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. Current Accepting new patients
Special Care Hospital, LLC Past Accepting new patients
Michigan Medical Patient Care PastSince May 1, 2008 Accepting new patients
Cherry Street Services, Inc. Past Accepting new patients

Locations

5570 State St
Ste 2
Saginaw, MI 48603
Phone (989) 583-0100

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5570 State St
Saginaw, MI 48603
Phone (989) 583-0100

Organizations & group practices 5

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 5

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1477511145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STATE ST SE",
            "address_2": "STE 228",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 E BELTLINE AVE NE",
            "address_2": "STE 201",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254548",
            "telephone_number": "616-685-8620",
            "fax_number": "616-447-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKE",
        "first_name": "SALEH",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301066747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4821601",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4771045",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4770932",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1598712390",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4771152",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4773845",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.