Individual provider Active NPI

Timothy C. Dykstra, MD

  • Family Medicine Physician
  • Centerville, IA
National Provider Identifier
1043206113
Registry record updated Dec 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-31362 Issued in IA
Practice address
1 Saint Joseph Dr
Centerville, IA 52544-9017
Phone
(641) 437-4111
NPI assigned
Sep 23, 2005
Last updated
Dec 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 31362 IA
Emergency Medicine Physician 207P00000X MD-31362 IA
Family Medicine Physician 207Q00000X 31362 IA
Family Medicine Physician 207Q00000X MD-31362 IA Primary

Addresses

Primary practice location

1 Saint Joseph Dr
Centerville, IA 52544-9017

Mailing address

PO Box 677075
Dallas, TX 75267-7075
Phone (641) 437-3483

Other identifiers 2

IdentifierTypeStateIssuer
1043206113OtherIANPI
56091003OtherIAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080707000280 IA Practitioner - Emergency MedicinePractitioner - Family Practice 5092614461 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Sanford School of Medicine of University of South Dakota, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians
Mercyone UrgentcareGroup PAC ID 6002294907, 22 clinicians

Practice addresses (Care Compare)

1601 NW 114TH St
Clive, IA 50325-7036

2400 Lillian Way
Clinton, IA 52732-2001
Phone (225) 239-7190

800 E 1St
1700 Mercyone Des Moines Diabetes Education
Ankeny, IA 50021-2100
Phone (515) 643-5203

800 E 1St St
Ankeny, IA 50021-2077

800 E 1St St
Ankeny, IA 50021-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Centerville CurrentSince Nov 1, 2025 Accepting new patients
Mercy Medical Center-Centerville CurrentSince Nov 1, 2025 Accepting new patients
Mercyone Urgentcare CurrentSince May 10, 2022 Accepting new patients
Mercyone Urgentcare CurrentSince May 10, 2022 Accepting new patients
Seven Hills Emergency Group, PC Emergency Medicine CurrentSince May 24, 2021 Accepting new patients
Mercy Clinics, Inc. Family Medicine Current Accepting new patients
Mercyone Central Iowa Urgent Care CurrentSince Aug 4, 2022 Accepting new patients
Mercy Clinics, Inc. Family Medicine CurrentSince Jan 4, 2019 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. Past Accepting new patients
Washington County Hospital Family Medicine Past Accepting new patients
Mercy Medical Center-Centerville PastSince Dec 28, 2025 Accepting new patients
Henry County Soldiers' and Sailors' Memorial Hospital Past Accepting new patients

Locations

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

2400 Lillian Way
Clinton, IA 52732
Phone (563) 243-1200

1601 NW 114th St
Ste 225
Clive, IA 50325
Phone (515) 461-9780

1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

6601 SW 9th St
Ste 3
Des Moines, IA 50315
Phone (515) 461-9786

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

Interoperability endpoints

  • Direct secure messaging: tdykstra4070401@direct.trinity-health.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1043206113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677075",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752677075",
            "telephone_number": "641-437-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT JOSEPH DR",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525449017",
            "telephone_number": "641-437-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "TIMOTHY",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "31362",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-31362",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "31362",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-31362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043206113",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "56091003",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IA

Sources for this page

Verify at the official NPI Registry.