Individual provider Active NPI

Lisa M Lyons, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1083682504
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9476 Issued in NV
Practice address
5230 Boulder Hwy Ste 110
Las Vegas, NV 89122-6077
Phone
(802) 940-1560
Fax
(702) 940-1561
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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 9476 NV Primary

Addresses

Primary practice location

5230 Boulder Hwy Ste 110
Las Vegas, NV 89122-6077

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

2720 N Tenaya Way Ste 300
Las Vegas, NV 89128-0424
Phone (702) 671-1111

Other practice location 2

7455 W Azure Dr
Bldg C Ste. 140
Las Vegas, NV 89130-4430
Phone (702) 434-3446

Other identifiers 2

IdentifierTypeStateIssuer
9476OtherNVSTATE LICENSE
002018461MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20070724000702 NV Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 9133220874 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9476NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group II Rhodes P C Internal Medicine CurrentSince Sep 18, 2025 Accepting new patients
Family Home Hospice, Inc. CurrentSince Sep 18, 2025 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Intermountain Medical Holdings Nevada Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Healthcare Partners Medical Group Coats LTD Internal Medicine Current Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 1, 2022 Accepting new patients
Southwest Medical Associates, Inc Internal Medicine Past Accepting new patients

Locations

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

9280 W Sunset Rd
Ste 426
Las Vegas, NV 89148
Phone (702) 262-0124

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

8655 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 468-8662

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

5230 Boulder Hwy
Ste 110
Las Vegas, NV 89122
Phone (702) 940-1560

2720 N Tenaya Way
Ste 300
Las Vegas, NV 89128
Phone (702) 560-2821

10105 Banburry Cross Dr
Ste 460
Las Vegas, NV 89144
Phone (702) 691-9160

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: lisa.lyons.1@15442.direct.athenahealth.com
  • Direct secure messaging: llyons250494@westdirect.optum.com

Organizations & group practices 7

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1083682504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 BOULDER HWY STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226077",
            "telephone_number": "802-940-1560",
            "fax_number": "702-940-1561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 N Tenaya Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280424",
            "country_code": "US",
            "telephone_number": "702-671-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7455 W Azure Dr",
            "address_2": "Bldg C Ste. 140",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891304430",
            "country_code": "US",
            "telephone_number": "702-434-3446",
            "fax_number": "702-233-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9476",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018461",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.