Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Derek John Lyste, MD

Individual provider Family Medicine Physician · NPI 1174724116

Dr. Derek John Lyste, MD is a Family Practice in Grand Forks, North Dakota. Graduated from University of North Dakota School of Medicine in 2007, 19 years ago. Practices with Altru Health System, a 667-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
19
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone: (701) 795-2000
Fax: (701) 795-2260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11427 (ND)

Record details

NPI number1174724116
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2007
Last updated in NPPESJune 10, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Altru Health System — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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