Individual provider Active NPI

David Wayne Lyter, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1659320158
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME79149 Issued in FL
Practice address
4302 N Habana Ave Ste 200
Tampa, FL 33607-6368
Phone
(813) 518-0881
Fax
(813) 518-0882
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME79149 FL Primary

Addresses

Primary practice location

4302 N Habana Ave Ste 200
Tampa, FL 33607-6368

Mailing address

4302 N Habana Ave Ste 200
Tampa, FL 33607-6368
Phone (813) 518-0881

Other identifiers 2

IdentifierTypeStateIssuer
57659OtherFLFBID
111480900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060206000874 FL Practitioner - Internal Medicine 2769496157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4302 N Habana Ave
Suite 200
Tampa, FL 33607-6368
Phone (813) 518-0881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79149FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David W Lyter, MD MPH, PA Internal Medicine CurrentSince Oct 23, 2017 Accepting new patients

Locations

4302 N Habana Ave
Ste 200
Tampa, FL 33607
Phone (813) 518-0881

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1659320158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 N HABANA AVE STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076368",
            "telephone_number": "813-518-0881",
            "fax_number": "813-518-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 N HABANA AVE STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076368",
            "telephone_number": "813-518-0881",
            "fax_number": "813-518-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTER",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FBID",
            "identifier": "57659",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111480900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.