Active NPI
Timothy C. Dykstra, MD
- Family Medicine Physician
- Centerville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-31362
- Practice address
- 1 Saint Joseph Dr
Centerville, IA 52544-9017 - Phone
- (641) 437-4111
- NPI assigned
- Sep 23, 2005
- Last updated
- Dec 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043206113 | Other | IA | NPI |
| 56091003 | Other | IA | MEDICARE 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center-Centerville | Current | Accepting new patients | |
| Mercy Medical Center-Centerville | Current | Accepting new patients | |
| Mercyone Urgentcare | Current | Accepting new patients | |
| Mercyone Urgentcare | Current | Accepting new patients | |
| Seven Hills Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Mercy Clinics, Inc. | Family Medicine | Current | Accepting new patients |
| Mercyone Central Iowa Urgent Care | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Family Medicine | Current | 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 | Past | 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
- 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.
-
dba MercyOne Clive Family Medicine Clinic
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
Family Medicine
-
- Clinic/Center
- Clinton, IA
- NPI 1447995766
-
dba Mercyone Centerville Medical Center
- Critical Access Hospital
- Centerville, IA
- NPI 1356391635
-
- Clinic/Center
- Des Moines, IA
- NPI 1790422095
-
- Emergency Medicine Physician
- Jefferson, IA
- NPI 1467030254
-
dba MercyOne Norwalk Family Medicine Clinic
- Primary Care Clinic/Center
- Des Moines, IA
- NPI 1952327470
Family Medicine
-
dba MercyOne Ottumwa Family and Internal Medicine Clinic
- Multi-Specialty Clinic/Center
- Ottumwa, IA
- NPI 1093360679
-
- Oxygen Equipment & Supplies (DME)
- Clinton, IA
- NPI 1437030053
-
dba Henry County Health Center
- Skilled Nursing Facility
- Mt Pleasant, IA
- NPI 1982691002
-
- Emergency Care Clinic/Center
- Centerville, IA
- NPI 1528018801
-
dba Southeast Iowa Regional Medical Center
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
-
dba WCHC Kalona Clinic
- Family Medicine Physician
- Kalona, IA
- NPI 1235985003
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercyone Centerville Medical Center
- Critical Access Hospital
- Centerville, IA
- NPI 1356391635
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.