David Dereczyk, PA-C
NPI 1720158223 · Medical Physician Assistant · Detroit, MI
David Dereczyk, PA-C is a Medical Physician Assistant provider in Detroit, MI (NPI 1720158223).
Provider details
- NPI number
- 1720158223
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 001252 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is David Dereczyk's NPI number?
- David Dereczyk's National Provider Identifier (NPI) is 1720158223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is David Dereczyk's specialty?
- David Dereczyk is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is David Dereczyk located?
- David Dereczyk's practice location on file with NPPES is 2799 W Grand Blvd, Detroit, MI 48202-2608.
- What is David Dereczyk's phone number?
- The practice phone number listed in the NPPES registry for David Dereczyk is (313) 916-1557.
- Is David Dereczyk's NPI active?
- Yes — David Dereczyk's NPI (1720158223) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.