Sheryl Bryan Lyss, MD, MPH

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

2022013899 Issued in MO

Practice address

1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117-1211

Phone

(314) 977-8491

NPI assigned

Mar 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• SSM Health Care Group

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1306589544
  NPD
• SSM Health Care Group

  • Dermatopathology Physician
  • Saint Louis, MO
  • NPI 1932844495
  NPD

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1114675147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 1120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171211",
            "telephone_number": "314-617-3000",
            "fax_number": "314-726-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 1120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171211",
            "telephone_number": "314-977-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSS",
        "first_name": "SHERYL",
        "middle_name": "BRYAN",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MO",
            "license": "2022013899",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "MO",
            "license": "2022013899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Lyons, PH.D.
• Alan P Lyss, MD
• Alexander Maxwell Lyss, OD
• Carl A. Lyss, MD
• Sherri Lyss, M.S.W.,L.C.S.W.
• Taras Lysyy, MD, MCH
• Irina Lytvak, M.D.
• Yanqing Lyu
• Mariya Lyubomirova Lyubenova-Ivanova, MD
• M a W Cares, Inc

• Addiction Medicine (Preventive Medicine) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Addiction Medicine (Preventive Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.