Individual provider Active NPI

Dylan McKay, DO

  • Family Medicine Physician
  • Portland, MI
National Provider Identifier
1497314033
Registry record updated Oct 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101026894 Issued in MI
Practice address
1850 Hyland Dr
Portland, MI 48875-8508
Phone
(517) 647-6722
NPI assigned
Jun 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2024

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 5101026894 MI Primary

Addresses

Primary practice location

1850 Hyland Dr
Portland, MI 48875-8508

Mailing address

1850 Hyland Dr
Portland, MI 48875-8508
Phone (517) 647-6722

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
I20220616000235 MI Practitioner - Family Practice 8820477193 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Ionia HospitalGroup PAC ID 0042118887, shared by 4 NPIs, 42 clinicians

Practice addresses (Care Compare)

550 E Washington St
Sparrow Medical Group Ionia
Ionia, MI 48846-2202
Phone (616) 523-1630

Hospital & facility affiliations

  • Mary Free Bed at Home, LLC Home health agency, Grand Rapids, MI, CCN 237203
  • Sparrow Home Care Home health agency, Lansing, MI, CCN 237164
  • Sparrow Ionia Hospital Hospital, Ionia, MI, CCN 231331
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327
  • University of Michigan Health-Sparrow Carson Hospital, Carson City, MI, CCN 230208

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital Family Medicine CurrentSince Jun 21, 2024 Accepting new patients
Sparrow Ionia Hospital Family Medicine CurrentSince Jun 10, 2022 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Sparrow Ionia Hospital Family Medicine CurrentSince Jun 10, 2022 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

550 E Washington St
Fl 2
Ionia, MI 48846
Phone (616) 523-1600

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1850 Hyland Dr
Portland, MI 48875
Phone (517) 253-5084

Organizations & group practices 4

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 9

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1497314033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 HYLAND DR",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488758508",
            "telephone_number": "517-647-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HYLAND DR",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488758508",
            "telephone_number": "517-647-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101026894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, MI

Sources for this page

Verify at the official NPI Registry.