Individual provider Active NPI

Timothy George Dyster, M.D.

  • Diagnostic Radiology Physician
  • Lewiston, NY
National Provider Identifier
1477534741
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
174697-1 Issued in NY
Practice address
5300 Military Rd
Lewiston, NY 14092-1903
Phone
(716) 298-2356
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 174697-1 NY Primary

Addresses

Primary practice location

5300 Military Rd
Lewiston, NY 14092-1903

Mailing address

PO Box 8000 Dept 570
Buffalo, NY 14267-0002
Phone (716) 298-2356

Other practice location 1

521 East Ave
Lockport, NY 14094-3201
Phone (716) 514-5624

Other identifiers 1

IdentifierTypeStateIssuer
01210604MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040810000973 NY Practitioner - Diagnostic Radiology 0547232522 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
174697-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Frontier Radiologic Associates PC Diagnostic Radiology CurrentSince Jun 1, 1974 Accepting new patients
Trinity Medical Wny PC CurrentSince Sep 25, 2025 Accepting new patients
Trinity Medical Wny PC CurrentSince Sep 25, 2025 Accepting new patients

Locations

3730 Sheridan Dr
Buffalo, NY 14226
Phone (716) 601-3766

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

6001 Shimer Dr
Lockport, NY 14094
Phone (716) 419-0400

521 East Ave
Lockport, NY 14094
Phone (716) 434-9111

1 Colomba Dr
Ste 4
Niagara Falls, NY 14305
Phone (716) 298-2356

1 Colomba Dr
Ste 3
Niagara Falls, NY 14305
Phone (716) 205-2303

3799 Commerce Ct
Ste 200
North Tonawanda, NY 14120
Phone (716) 332-1320

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

Organizations & group practices 3

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

Hospital & facility affiliations 10

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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PC 207 clinicians
Niagara Frontier Radiologic Associates PC 21 clinicians

Practice addresses (Care Compare)

3799 Commerce CT
Suite 200
North Tonawanda, NY 14120-2027
Phone (716) 332-1320

5300 Military Rd
Lewiston, NY 14092-1903
Phone (716) 297-4800

Hospital & facility affiliations

  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Wyoming County Hospital, Warsaw, NY, CCN 331323
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Niagara Falls Memorial Medical Center Hospital, Niagara Falls, NY, CCN 330065

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1477534741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000 DEPT 570",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "716-298-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MILITARY RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921903",
            "telephone_number": "716-298-2356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 East Ave",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "NY",
            "postal_code": "140943201",
            "country_code": "US",
            "telephone_number": "716-514-5624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYSTER",
        "first_name": "TIMOTHY",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "174697-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01210604",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

Verify at the official NPI Registry.