Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason P Dykstra, MD

Individual provider Diagnostic Radiology Physician · NPI 1578753489

Jason P Dykstra, MD is a Diagnostic Radiology in Grand Rapids, Michigan. Graduated from University of Michigan Medical School in 2004, 22 years ago. Practices with Central Illinois Radiological Associates Ltd, a 204-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Advanced Radiology Services P.c 3264 N Evergreen Dr
Grand Rapids, MI 49525-9746
Phone: (616) 363-7339
Fax: (616) 361-5828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301084273 (MI)

Record details

NPI number1578753489
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2007
Last updated in NPPESJuly 8, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice Central Illinois Radiological Associates Ltd — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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