Alexander Dydyk, DO

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

OS021039 Issued in AZ

Practice address

13026 W Rancho Santa Fe Blvd Ste C100
Avondale, AZ 85392-1710

Phone

(480) 239-9786

NPI assigned

May 25, 2017

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

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 2

Specialty

Family PracticeAlso: Sports Medicine

Education

Midwestern University, Chicago College of Osteopathic Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthyu Family Medicine LLCGroup PAC ID 6204224918, 43 clinicians

Advanced Spine and Pain LLCGroup PAC ID 0941610075, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4
• Direct secure messaging: alexander.dydyk.1@24378.direct.athenahealth.com

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.

• Healthyu Family Medicine, LLC

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1669149787

  AZ, Family Medicine

  Medicare reassignment Care Compare group NPD
• Advanced Spine and Pain LLC

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1356950653

  AZ

  Medicare reassignment Care Compare group
• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350

  CA, Family Medicine

  Medicare reassignment NPD
• Advanced Spine and Pain LLC

  • Interventional Pain Medicine Physician
  • Goodyear, AZ
  • NPI 1366048860
  Care Compare group
• Advanced Spine and Pain LLC

  • Internal Medicine Physician
  • Gilbert, AZ
  • NPI 1487394888
  Care Compare group
• Advanced Spine and Pain LLC

  • Interventional Pain Medicine Physician
  • Sun City, AZ
  • NPI 1528764131
  Care Compare group
• Advanced Spine and Pain LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mesa, AZ
  • NPI 1629679923
  Care Compare group
• Advanced Spine and Pain LLC

  • Interventional Pain Medicine Physician
  • Surprise, AZ
  • NPI 1659030005
  Care Compare group
• Healthyu Glendale Olive

  • Non-Pharmacy Dispensing Site
  • Glendale, AZ
  • NPI 1497451074
  NPD (past)
• Healthyu Phoenix 31St Avenue, LLC

  • Non-Pharmacy Dispensing Site
  • Phoenix, AZ
  • NPI 1902516362
  NPD (past)
• Prescott Healthcare Solutions LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1912435694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E MCKELLIPS RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039654",
            "telephone_number": "602-491-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13026 W RANCHO SANTA FE BLVD STE C100",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921710",
            "telephone_number": "480-239-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYDYK",
        "first_name": "ALEXANDER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "OS021039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alexander.dydyk@healthyuclinics.com",
            "affiliation": "N",
            "address_1": "13026 W Rancho Santa Fe Blvd Ste C100",
            "city": "Avondale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853921710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dsi Renal Inc
• Malcolm Garvey Duncan Sr., APRN
• Kevin Kan Duong, PHARMACIST
• Corinne Dupuis
• DW Developmental Homes LLC
• Rebecca Dyer
• Destiny Dzibinski
• Laura Eddy, COTA
• Crystal Lavonne Edwards
• Tahnisha L. Edwards

• All providers in Avondale, AZ
• Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.