Individual provider

Dylan Carmichael, DO

Colon & Rectal Surgery Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Dylan Carmichael, DO is a Colon & Rectal Surgery Physician in Port Saint Lucie, FL, registered under NPI 1679102941. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 900 SE BECKER RD, Port Saint Lucie, FL 34984. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

900 SE BECKER RD, Port Saint Lucie, FL 34984 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
OS23592 FL Colon & Rectal Surgery Physician primary

This provider holds licence OS23592 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - General Surgery
PAC ID
6800219023

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Pennsylvania I20200707001948 Order And Referring Only - General Surgery
Tennessee I20250523002224 Order And Referring Only - Colorectal Surgery (proctology)

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - General Surgery. There are 2 separate enrolment records across 2 states (PA, TN). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Colon & Rectal Surgery covers

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. NUCC Health Care Provider Taxonomy, code 208C00000X
Allopathic & Osteopathic Physicians Colon & Rectal Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208C00000X Colon & Rectal Surgery Physician OS23592 FL primary
390200000X Student in an Organized Health Care Education/Training Program PA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1679102941 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 7, 2020
Last updatedJun 2, 2026
StatusActive
Sole proprietorNo
CredentialDO
Practice address 900 SE BECKER RD
Port Saint Lucie, FL 34984
(772) 800-5110
Fax (772) 621-2935
Mailing address PO BOX 20800
Belfast, ME 04915
This record was updated on Jun 2, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1679102941 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 7 9 1 0 2 9 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 5 9 2 0 4 9 8

Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1679102941?
NPI 1679102941 is the National Provider Identifier assigned to Dylan Carmichael, DO in Port Saint Lucie, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Colon & Rectal Surgery Physician cover?
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary…
How do I contact Dylan Carmichael, DO?
The phone number on file with NPPES is (772) 800-5110, last updated Jun 2, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Dylan Carmichael, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1679102941 a valid number?
Yes. 1679102941 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.