Individual provider Active NPI

Valerie R. Dyke, MD

  • Colon & Rectal Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1740285287
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME0078379 Issued in FL
Practice address
13770 Plantation Rd
Suite 2
Fort Myers, FL 33912-4301
Phone
(239) 275-0728
Fax
(239) 275-6947
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X ME0078379 FL Primary

Addresses

Primary practice location

13770 Plantation Rd
Suite 2
Fort Myers, FL 33912-4301

Mailing address

2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other identifiers 11

IdentifierTypeStateIssuer
46777OtherFLBCBS PROVIDER NUMBER
P00337577OtherFLRAILROAD MEDICARE #
257226500MedicaidFL
14-00162OtherFLUHC PROVIDER NUMBER
7745035OtherFLAETNA OTHER PROVIDER #
ME78378OtherFLMETCARE PROVIDER NUMBER
07738OtherFLUNIV. HLTHCR. PROVIDER #
277499OtherFLAVMED
780836OtherFLWELLCAE
1794498-002OtherFLCIGNA PROVIDER NUMBER
3739673OtherFLAETNA HMO PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050301000706 FL Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 9032162136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Maryland School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

2721 Del Prado Blvd S
Suite 210
Cape Coral, FL 33904-5783
Phone (239) 275-0728

Hospital & facility affiliations

  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy195
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0078379FLMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC CurrentSince Feb 1, 2005 Accepting new patients
Genesiscare USA of Florida LLC Current Accepting new patients
Precision Healthcare Specialists, LLC Colon & Rectal Surgery CurrentSince May 4, 2024 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Feb 1, 2005 Accepting new patients

Locations

2721 Del Prado Blvd S
Ste 210
Cape Coral, FL 33904
Phone (239) 275-0728

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

3501 Health Center Blvd
Ste 2170
Estero, FL 34135
Phone (239) 494-4900

2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212

13691 Metro Pkwy
Ste 300
Fort Myers, FL 33912
Phone (239) 291-6970

2160 Colonial Blvd
Fort Myers, FL 33907

13770 Plantation Rd
Ste 2
Fort Myers, FL 33912
Phone (239) 275-0728

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: valerie.dyke.1@29246.direct.athenahealth.com

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 3

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1740285287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 PLANTATION RD",
            "address_2": "SUITE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124301",
            "telephone_number": "239-275-0728",
            "fax_number": "239-275-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKE",
        "first_name": "VALERIE",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME0078379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "46777",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "P00337577",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257226500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER NUMBER",
            "identifier": "14-00162",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA OTHER PROVIDER #",
            "identifier": "7745035",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METCARE PROVIDER NUMBER",
            "identifier": "ME78378",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIV. HLTHCR. PROVIDER #",
            "identifier": "07738",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "277499",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCAE",
            "identifier": "780836",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "1794498-002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER #",
            "identifier": "3739673",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.