What is Cederick Cistrunk's NPI number?

Cederick Cistrunk's National Provider Identifier (NPI) is 1770602500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Cederick Cistrunk's specialty?

Cederick Cistrunk is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Cederick Cistrunk located?

Cederick Cistrunk's practice location on file with NPPES is 3990 John R St, Detroit, MI 48201-2018.

What is Cederick Cistrunk's phone number?

The practice phone number listed in the NPPES registry for Cederick Cistrunk is (313) 745-8040.

Does Cederick Cistrunk accept Medicare?

Cederick Cistrunk is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Cederick Cistrunk's NPI active?

Yes — Cederick Cistrunk's NPI (1770602500) is active in the NPPES registry as of the last update on 2010-01-12.

IndividualActiveAccepts Medicare

Cederick Cistrunk, PA-C

NPI 1770602500 · Surgical Physician Assistant · Detroit, MI

Cederick Cistrunk, PA-C is a Surgical Physician Assistant provider in Detroit, MI (NPI 1770602500).

Provider details

NPI number: 1770602500
Entity type: Individual
Primary specialty: Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Male
Sole proprietor: No
License: 5601004965 (MI)

Practice location

3990 John R St

Detroit, MI 48201-2018

Phone: (313) 745-8040

Street-level locationGet directions

More MI providers

Mailing address

3990 John R Dept of Cardio Thoracic Surgery

Detroit, MI 48201

Specialties & taxonomies

Surgical Physician AssistantPrimary363AS0400XLicense 5601004965 (MI)
Physician Assistants & Advanced Practice Nursing Providers

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure33% of score
19 yrs in NPPES registry
Profile completeness33% of score
100% of core fields populated
Practice footprint20% of score
1 documented practice location
Open Payments transparency13% of score
Has Open Payments disclosures (2024)

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.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$15 across 1 record (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Enumerated: 2007-03-29
Last updated: 2010-01-12

Frequently asked questions

What is Cederick Cistrunk's NPI number?: Cederick Cistrunk's National Provider Identifier (NPI) is 1770602500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Cederick Cistrunk's specialty?: Cederick Cistrunk is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
Where is Cederick Cistrunk located?: Cederick Cistrunk's practice location on file with NPPES is 3990 John R St, Detroit, MI 48201-2018.
What is Cederick Cistrunk's phone number?: The practice phone number listed in the NPPES registry for Cederick Cistrunk is (313) 745-8040.
Does Cederick Cistrunk accept Medicare?: Cederick Cistrunk is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Cederick Cistrunk's NPI active?: Yes — Cederick Cistrunk's NPI (1770602500) is active in the NPPES registry as of the last update on 2010-01-12.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Transparency — industry payments

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Transparency — industry payments

Frequently asked questions