Individual provider Active NPI

Michael Lyons, M.D.

  • Pediatrics Physician
  • Leominster, MA
National Provider Identifier
1306834650
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
156732 Issued in MA
Practice address
100 Hospital Rd
Suite 4
Leominster, MA 01453-2253
Phone
(978) 514-6300
Fax
(978) 514-6324
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 156732 MA Primary

Addresses

Primary practice location

100 Hospital Rd
Suite 4
Leominster, MA 01453-2253

Mailing address

100 Hospital Rd
Suite 4
Leominster, MA 01453-2253
Phone (978) 514-6300

Other identifiers 1

IdentifierTypeStateIssuer
3181227MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060201000583 MA Practitioner - Pediatric Medicine 9931113677 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Massachusetts Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates Pediatrics, P.C.Group PAC ID 6709828718, 4 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Suite 4
Leominster, MA 01453-2253
Phone (978) 514-6300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Capital JV, LLC CurrentSince Oct 9, 2025 Accepting new patients
Medical Associates Pediatrics, P.C. CurrentSince Jan 4, 2010 Accepting new patients
Devens Treatment & Recovery Center, LLC CurrentSince Oct 9, 2025 Accepting new patients

Locations

19 Midstate Dr
Ste 110
Auburn, MA 01501

85 Patton Rd
Devens, MA 01434
Phone (978) 615-5200

1233 Main St
Holyoke, MA 01040
Phone (413) 264-0819

100 Hospital Rd
Ste 4A
Leominster, MA 01453
Phone (978) 514-6300

100 Hospital Rd
Ste 4
Leominster, MA 01453
Phone (978) 514-6300

Interoperability endpoints

  • Direct secure messaging: mlyons14788@direct.chppoc.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1306834650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "address_2": "SUITE 4",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532253",
            "telephone_number": "978-514-6300",
            "fax_number": "978-514-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "address_2": "SUITE 4",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532253",
            "telephone_number": "978-514-6300",
            "fax_number": "978-514-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "156732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3181227",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.