Kenneth M Lyssy Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J3539 Issued in TX

Practice address

6100 Bandera Rd
403
San Antonio, TX 78238-1652

Phone

(210) 256-9500

Fax

(210) 256-8720

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

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.

• Kenneth M. Lyssy Jr MD PA

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1205039559
  NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194718361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BANDERA RD",
            "address_2": "403",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381652",
            "telephone_number": "210-256-9500",
            "fax_number": "210-256-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 BANDERA RD",
            "address_2": "403",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381652",
            "telephone_number": "210-256-9500",
            "fax_number": "210-256-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSSY",
        "first_name": "KENNETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0098EN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yasmin Aspy Lyons, D.O.
• Lysa L Curry MD PA
• Ashley Nicole Lyssy, LCSW
• Christopher Lyssy, P.T.A.
• Kathleen Jane Lyssy, M.D.
• Mary (MK) Kathryn Lyssy, M.S., LPC
• Kathryn Alice Lytle, BSSLP
• M & M Neurology, PLLC
• M & S Tower Pharmacy Inc
• M D Toxicology Group, LLC

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.