DR. THOMAS P DYKSTRA MD
NPI 1366437410
Emergency Medicine in Fort Wayne, IN

Q: What is Thomas Dykstra's NPI number?

The NPI number for Thomas Dykstra is 1366437410. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Q: What is Thomas Dykstra's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Dykstra was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2005PECOS Enrolled

2200 RANDALLIA DR, FORT WAYNE, IN 46805(260) 373-4000(260) 482-4442 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Thomas P Dykstra Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS P DYKSTRA MD (NPI 1366437410) is an individual emergency medicine provider in Fort Wayne, Indiana, licensed in Indiana (01038525A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366437410

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. THOMAS P DYKSTRACredential: MD

Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638

Mailing Address3640 New Vision Dr, Suite AFort Wayne, IN 46845-1717 · (260) 482-4440 · Fax (260) 482-4442

Phone(260) 373-4000

Fax(260) 482-4442

Sole ProprietorNo

Enumeration DateSeptember 14, 2005

Last NPPES UpdateAugust 7, 2013

✔ NPI 1366437410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IN · 01038525A

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2200 RANDALLIA DR, Fort Wayne, IN 46805

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Other Identifiers 7

Medicaid2517940OH

Medicare UPINE44312IN

Other000000082528IN · Anthem

Medicare ID-Type Unspecified930027063Rr Medicare

Medicare ID-Type Unspecified047840DDIN

Other000000004849Mplan

Medicaid200033350IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas P Dykstra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLIKA GYAWALI MD

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