Active NPI
Dylan Roberts Streb, DO
- Family Medicine Physician
- Cedar Rapids, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R-10827
- Practice address
- Eastern Iowa Health Center
1201 Third Avenue SE
Cedar Rapids, IA 52403 - Phone
- (319) 730-7300
- Fax
- (319) 730-7368
- NPI assigned
- May 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-10827 | IA | Primary |
Addresses
Primary practice location
Eastern Iowa Health Center
1201 Third Avenue SE
Cedar Rapids, IA 52403
Mailing address
Eastern Iowa Health Center
1201 Third Avenue SE
Cedar Rapids, IA 52403
Phone (319) 730-7300
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Cherry St SE
Grand Rapids, MI 49503-4526
550 Cherry St SE
Grand Rapids, MI 49503-4748
Phone (616) 235-7272
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-10827 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherry Street Services, Inc. | Family Medicine | Current | Accepting new patients |
| Cherry Street Services, Inc | Current | Accepting new patients | |
| Cherry Street Health Services | Past | Accepting new patients |
Locations
669 Stocking Ave NW
Grand Rapids, MI 49504
Phone (616) 235-1480
100 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 965-8209
550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272
1003 N Lafayette St
Greenville, MI 48838
Phone (616) 225-9650
Interoperability endpoints
- dylan.streb.p1@direct.cherryhealth.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
- NPI 1558459164
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Howard City, MI
- NPI 1831955251
-
- Case Management Agency
- Grand Rapids, MI
- NPI 1578979274
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495411200000",
"number": "1619404613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EASTERN IOWA HEALTH CENTER",
"address_2": "1201 THIRD AVENUE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52403",
"telephone_number": "319-730-7300",
"fax_number": "319-730-7368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EASTERN IOWA HEALTH CENTER",
"address_2": "1201 THIRD AVENUE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52403",
"telephone_number": "319-730-7300",
"fax_number": "319-730-7368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREB",
"first_name": "DYLAN",
"middle_name": "ROBERTS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-22",
"last_updated": "2017-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R-10827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.