Individual provider Active NPI

Richard Howard Lyerly, M.D.

  • Nephrology Physician
  • Birmingham, AL
National Provider Identifier
1154377968
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
7699 Issued in AL
Practice address
833 Saint Vincents Dr
Ste. 201
Birmingham, AL 35205-1606
Phone
(205) 250-8946
Fax
(205) 250-6002
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 7699 AL Primary

Addresses

Primary practice location

833 Saint Vincents Dr
Ste. 201
Birmingham, AL 35205-1606

Mailing address

PO Box 830230
Birmingham, AL 35283
Phone (205) 250-6000

Other identifiers 1

IdentifierTypeStateIssuer
000005711MedicaidAL

Other names 1

  • Rick Howard Lyerly Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100202000462 AL Practitioner - Nephrology 4183532153

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norwood Clinic Inc CurrentSince Nov 5, 1994 Accepting new patients
Norwood Clinic, Inc Past Accepting new patients

Locations

833 Saint Vincents Dr
Ste 201
Birmingham, AL 35205
Phone (205) 250-8910

1528 Carraway Blvd
Birmingham, AL 35234
Phone (205) 250-6035

2018 Medical Center Dr
Ste 301
Birmingham, AL 35209
Phone (205) 802-6982

2244 North Rd
Gardendale, AL 35071
Phone (205) 418-1080

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1154377968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830230",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35283",
            "telephone_number": "205-250-6000",
            "fax_number": "205-250-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR",
            "address_2": "STE. 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051606",
            "telephone_number": "205-250-8946",
            "fax_number": "205-250-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYERLY",
        "first_name": "RICHARD",
        "middle_name": "HOWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "7699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000005711",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICK",
            "last_name": "LYERLY",
            "middle_name": "HOWARD",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.