Eric Lee Dyck, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0418590 Issued in KS

Practice address

2102 Baptiste Dr
Paola, KS 66071-1314

Phone

(913) 557-5678

Fax

(913) 557-5681

NPI assigned

May 18, 2006

Last updated

Oct 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jayhawk Primary Care IncGroup PAC ID 8123928900, 157 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049

Merit-based Incentive Payment System (MIPS)

Final score

24.74 of 100Reported as group

Quality

16.27

Promoting interoperability

0

Improvement activities

0

Cost

66.19

Merit-based Incentive Payment System (MIPS)

Final score

89.5 of 100Reported as apm

Quality

79

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edyck755408@direct.kuha.org

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.

• Jayhawk Primary Care Inc

  dba Ku Medwest

  • Family Medicine Physician
  • Shawnee, KS
  • NPI 1528025053
  Medicare reassignment Care Compare group NPD
• Olathe Health Physicians, Inc.

  • Family Medicine Physician
  • Olathe, KS
  • NPI 1598784639
  Medicare reassignment
• Jayhawk Primary Care Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1376324152

  Family Medicine

  NPD
• Carondelet Primary Care Network, Inc

  dba Carondelet Specialty Care Network

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1063465359

  Family Medicine

  NPD (past)
• Jayhawk Primary Care Inc

  dba The University of Kansas Health System-Family Medicine

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1982665436
  NPD (past)

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

• Olathe Medical Center Inc

  • General Acute Care Hospital
  • Olathe, KS
  • NPI 1144266115
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1497708580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 BAPTISTE DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711314",
            "telephone_number": "913-557-5678",
            "fax_number": "913-557-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 BAPTISTE DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711314",
            "telephone_number": "913-557-5678",
            "fax_number": "913-557-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCK",
        "first_name": "ERIC",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0418590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100420290A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Wade Davis, LMSW
• Christopher Michael Delap, LMLP, BCBA, AS, LBA
• Chelsea Doherty, PHARMD
• Donald E. Banks
• DRS Price Young Odle & Horsch PA (The EyeDoctors)
• Mary K Egger, LPC
• Krista Essex, RN
• Eyecare Professionals, LLC
• Christopher Duane Fouts, RPH
• Patricia Elizabeth Fowler, DNP, APRN, FNP-C

• Family Medicine Physician in Paola, KS
• Providers in Paola, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.