Individual provider Active NPI

Thomas Zong-Xun Lyo, M.D

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1275595787
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
193055 Issued in NY
Practice address
13987 35TH Ave Apt L1
Flushing, NY 11354-3551
Phone
(718) 358-7788
NPI assigned
Apr 3, 2006
Last updated
Dec 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 193055 NY Primary

Addresses

Primary practice location

13987 35TH Ave Apt L1
Flushing, NY 11354-3551

Mailing address

13987 35TH Ave Apt L1
Flushing, NY 11354-3551
Phone (718) 358-7788

Other identifiers 1

IdentifierTypeStateIssuer
20118647MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041106000035 NY Practitioner - Internal Medicine 3971566357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Thomas Lyo Medical PCGroup PAC ID 3870558059, 3 clinicians

Practice addresses (Care Compare)

421 Huguenot St
Suite 33
New Rochelle, NY 10801-7021
Phone (914) 813-8021

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Howe Avenue Medical Services, PC Internal Medicine Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: thomas.lyo@glacecentral.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1275595787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13987 35TH AVE APT L1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543551",
            "telephone_number": "718-358-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13987 35TH AVE APT L1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543551",
            "telephone_number": "718-358-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYO",
        "first_name": "THOMAS",
        "middle_name": "ZONG-XUN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "193055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20118647",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.