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DR. TIMOTHY J. DYKSTRA DO NPI 1376592758


NPI Information

NPI: 1376592758
Provider Name: DR. TIMOTHY J. DYKSTRA, DO
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Organization: CATALYST MEDICAL GROUP, PLLC

PECOS Registration: Yes

Address:
2315 8TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 746-1383
Get Directions

DR. Timothy J. Dykstra, DO is an internal medicine in Lewiston, ID with 28 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Timothy J. Dykstra, DO NPI is 1376592758. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1996

The provider's business location address is:

2315 8TH ST
LEWISTON, ID
ZIP 83501-301
Phone: (208) 746-1383
Fax: (208) 746-6348

The NPI 1376592758 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Hemoglobin A1C level (HCPCS:83036)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 5/10/2006 and was last updated on 3/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineOP00001634WASHINGTONNo
2207R00000XInternal MedicineO-216IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11376592758MEDICAIDIDAHO
2110184432OTHERIDAHORR MEDICARE
3128877OTHERWASHINGTONLABOR & INDUSTRY
41301846OTHERDMERC
51376592758OTHERIDAHOREGENCE BLUE SHIELD
6G94828MEDICARE UPINIDAHO
71301846MEDICARE PINIDAHO
8S3028OTHERIDAHOBLUE CROSS OF IDAHO
91008949MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.