NPIMap

Organization Active NPI

Lykos Medical LLC

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1215423124
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LYKOS MEDICAL LLC
Practice address
595 Chapel Hills Dr Ste 303a
Colorado Springs, CO 80920-1022
Phone
(719) 434-8810
Fax
(833) 903-3601
NPI assigned
Jul 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Michael Duane StoneNPI 1629305479
Title
Indirect Owner
Phone
(310) 955-0037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

595 Chapel Hills Dr Ste 303a
Colorado Springs, CO 80920-1022

Mailing address

595 Chapel Hills Dr Ste 303a
Colorado Springs, CO 80920-1022
Phone (719) 434-8810

Other identifiers 1

IdentifierTypeStateIssuer
9000163679MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180806003125 CO Part B Supplier - Clinic/Group Practice 0941558035 Receives reassigned benefits from 30 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

445 E Cheyenne Mountain Blvd
Ste 199
Colorado Springs, CO 80906

7610 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 434-8810

595 Chapel Hills Dr
Ste 303A
Colorado Springs, CO 80920
Phone (719) 434-8810

2045 Roanoke St
Colorado Springs, CO 80906
Phone (719) 471-2285

5505 S 900 E
Ste 240
Murray, UT 84117
Phone (801) 406-9601

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26269/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1215423124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR STE 303A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201022",
            "telephone_number": "719-434-8810",
            "fax_number": "833-903-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR STE 303A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201022",
            "telephone_number": "719-434-8810",
            "fax_number": "833-903-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYKOS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "INDIRECT OWNER",
        "authorized_official_telephone_number": "310-955-0037"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000163679",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.