Individual provider Active NPI

Reggie Duane Lyell, M.D.

  • Family Medicine Physician
  • Corydon, IN
National Provider Identifier
1184660664
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01042535 Issued in IN
Practice address
313 Federal Dr NW
Suite 200
Corydon, IN 47112-3070
Phone
(812) 738-4155
Fax
(812) 738-6104
NPI assigned
Jun 21, 2006
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01042535 IN Primary

Addresses

Primary practice location

313 Federal Dr NW
Suite 200
Corydon, IN 47112-3070

Mailing address

PO Box 455
Corydon, IN 47112-0455
Phone (812) 738-4155

Other identifiers 8

IdentifierTypeStateIssuer
338886POtherINSIHO
0180571OtherINUNHEALTHCARE
080062749OtherINMEDICARE RR
100380200AMedicaidIN
12044V10062OtherINAHDSH
1017630001OtherINDMERC
42639OtherINANTHEM
351920057OtherINGROUP TAX ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlyell20084@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101108000369 IN Practitioner - Family Practice 2062529514 Reassigns benefits to 1 organization
I20250903003668 KY Practitioner - Family Practice 2062529514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1901 Campus PL
Louisville, KY 40299-2308

610 E Brannon Rd
Nicholasville, KY 40356-6066
Phone (859) 260-5540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01042535INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients

Locations

313 Federal Dr NW
Ste 130
Corydon, IN 47112
Phone (812) 225-5133

313 Federal Dr NW
Ste 200
Corydon, IN 47112
Phone (812) 738-4155

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

610 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 260-5540

Interoperability endpoints

  • Direct secure messaging: rlyell20084@bhkydirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1184660664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471120455",
            "telephone_number": "812-738-4155",
            "fax_number": "812-738-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 FEDERAL DR NW",
            "address_2": "SUITE 200",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471123070",
            "telephone_number": "812-738-4155",
            "fax_number": "812-738-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYELL",
        "first_name": "REGGIE",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01042535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "338886P",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNHEALTHCARE",
            "identifier": "0180571",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "080062749",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100380200A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHDSH",
            "identifier": "12044V10062",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1017630001",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "42639",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "351920057",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlyell20084@bhkydirect.com",
            "affiliation": "N",
            "address_1": "313 Federal Dr NW",
            "address_2": "Suite 200",
            "city": "Corydon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471123070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.