Active NPI
Timothy George Dyster, M.D.
- Diagnostic Radiology Physician
- Lewiston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 174697-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01210604 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 174697-1 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niagara Frontier Radiologic Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Trinity Medical Wny PC | Current | 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.
-
- Diagnostic Radiology Physician
- Lewiston, NY
- NPI 1225120850
Diagnostic Radiology, NY
-
- Vascular Surgery Physician
- Buffalo, NY
- NPI 1205468055
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
Hospital
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
Hospital
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 PCNiagara Frontier Radiologic Associates PC
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
- Kenmore Mercy Hospital
- Wyoming County
- Kaleida Health
- Niagara Falls Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.