Doctor profile · Federal record
Dr. Cederick Cistrunk, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Detroit, MI
- NPI 1770602500
- Accepts Medicare
- MIPS 71.7 / 100 · 2023
- 20 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3990 John R St
Detroit, MI 482012018
(313) 745-8040 - Mailing address
-
3990 John R Dept of Cardio Thoracic Surgery
Detroit, MI 48201
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- January 12, 2010
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Michigan #5601004965
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770602500. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | 1 | $14.69 |
By nature of payment
Frequently asked questions
What is Dr. Cederick Cistrunk's medical specialty?
Dr. Cederick Cistrunk practices Surgical Physician Assistant in Detroit, MI.
Where does Dr. Cederick Cistrunk practice?
Dr. Cederick Cistrunk practices at 3990 John R St, Detroit, MI 482012018. Office phone: 3137458040.
What is Dr. Cederick Cistrunk's NPI?
Dr. Cederick Cistrunk's National Provider Identifier (NPI) is 1770602500, issued by NPPES.
Does Dr. Cederick Cistrunk accept Medicare assignment?
Yes. Dr. Cederick Cistrunk accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.