Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649219171 Individual Practitioner Male Practitioner

Dr. Gregg N Dyste , MD

Specialist • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

Dr. Gregg Dyste, MD is a registered healthcare professional specializing in Specialist in Coon Rapids, MN. Practice services are available at 11850 BLACKFOOT ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11850 Blackfoot St Nw
Suite 490

Coon Rapids, MN 554332578

Telephone 7634271137
Associated Practice Facility / Clinic
🏢 Metropolitan Neurosurgery, Pa Facility NPI 1386690543

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Coon Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 46.0 Yrs
State Avg: 34.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Coon Rapids, MN (877 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MN 32612

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
910895500 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Alyssa Schlenker , PA-C

Physician Assistant - Surgical

NPI 1063907368

Physician Assistant (Certified)

Krista Skoglund , PA

Physician Assistant

NPI 1104163369

Physician Assistant

Dr. Robert Roach , MD

Neurological Surgery

NPI 1114966637

Doctor of Medicine (M.D.)

Ruby Bowers

Physician Assistant

NPI 1184180614
Dr. Kyle Nelson , MD

Neurological Surgery

NPI 1194987289

Doctor of Medicine (M.D.)

Alexander Lee

Physician Assistant - Surgical

NPI 1265104764

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2015

Registered at 11850 BLACKFOOT ST NW, SUITE 490, COON RAPIDS, MN 554332578 (Tel: 7634271137)

📍
Updated Business Mailing Address July 20, 2015

Registered at 11850 BLACKFOOT ST NW, SUITE 490, COON RAPIDS, MN 554332578 (Tel: 7634271137)

👤
Provider Name / Credentials Updated July 20, 2015

Recorded as GREGG DYSTE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2015

Specialist (License #32612 in MN)

🟢
Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649219171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: July 20, 2015
Sole Proprietor: No

Mailing Address

11850 Blackfoot St Nw, Suite 490

Coon Rapids, MN 554332578

Phone: 7634271137

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.