NPIMap

Individual provider Active NPI

Michael T Lyster, MD

  • Hematology & Oncology Physician
  • Yuma, AZ
National Provider Identifier
1114916350
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
42959 Issued in AZ
Practice address
2375 S Ridgeview Dr
Yuma, AZ 85364-8868
Phone
(928) 317-2518
NPI assigned
Oct 20, 2005
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036081248 IL
Hematology & Oncology Physician 207RH0003X 42959 AZ Primary

Addresses

Primary practice location

2375 S Ridgeview Dr
Yuma, AZ 85364-8868

Mailing address

2400 S Avenue a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Other identifiers 2

IdentifierTypeStateIssuer
036081248MedicaidIL
505784MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MT, TN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100508000149 AZ Practitioner - Hematology/Oncology 6002729050 Reassigns benefits to 1 organization
I20230301000915 MT Practitioner - Medical Oncology 6002729050 Reassigns benefits to 2 organizations
I20250630002663 TN Practitioner - Hematology/Oncology 6002729050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HRMC, LLCGroup PAC ID 3072641265, 33 clinicians
SCL Health MontanaGroup PAC ID 3476457714, 38 clinicians
Thompson Oncology GroupGroup PAC ID 0941246771, 65 clinicians

Practice addresses (Care Compare)

101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 453-3761

1315 Golden Valley Cir
Billings, MT 59102-6746
Phone (406) 238-6290

1915 White Ave
Knoxville, TN 37916-2300
Phone (865) 541-1720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
74.84

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42959AZMDHematology & Oncology Physician
036081248ILMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HRMC, LLC Hematology & Oncology CurrentSince Apr 1, 2010 Accepting new patients
St. Peter's Health Family Medicine CurrentSince Mar 6, 2023 Accepting new patients
St. Peter's Health CurrentSince Mar 6, 2023 Accepting new patients
St Peter's Health Current Accepting new patients
SCL Health Montana CurrentSince Dec 9, 2025 Accepting new patients
Thompson Oncology Group Hematology & Oncology CurrentSince Jun 30, 2025 Accepting new patients
SCL Health Montana CurrentSince Dec 9, 2025 Accepting new patients
HRMC, LLC Family Medicine CurrentSince Apr 1, 2010 Accepting new patients
Advanced Physicians, S.C. Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1315 Golden Valley Cir
Billings, MT 59102
Phone (406) 238-6290

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

Dept 888078
Knoxville, TN 37995

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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 6

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1114916350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 S RIDGEVIEW DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648868",
            "telephone_number": "928-317-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSTER",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036081248",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "42959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081248",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505784",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.