Individual provider Active NPI

Edward Patrick Lyons, M.D.

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1316962483
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01234 Issued in LA
Practice address
1211 Coolidge Blvd
Suite 301
Lafayette, LA 70503-2636
Phone
(337) 235-8381
Fax
(337) 235-1010
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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 01234 LA Primary

Addresses

Primary practice location

1211 Coolidge Blvd
Suite 301
Lafayette, LA 70503-2636

Mailing address

1211 Coolidge Blvd
Suite 301
Lafayette, LA 70503-2636
Phone (337) 235-8381

Other identifiers 1

IdentifierTypeStateIssuer
1157911MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20060426000288 LA Practitioner - Internal Medicine 5597775239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

116 A Hospital Dr
Lafayette, LA 70503-2819
Phone (337) 235-8381

1211 Coolidge Rd
Suite 301
Lafayette, LA 70503

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01234LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward P. Lyons M.D. Apmc Internal Medicine CurrentSince Jun 10, 2009 Accepting new patients

Locations

116A Hospital Dr
Lafayette, LA 70503
Phone (337) 235-8381

116 Hospital Dr
#A
Lafayette, LA 70503
Phone (337) 235-8381

1211 Coolidge Blvd
Ste 301
Lafayette, LA 70503
Phone (337) 261-1919

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1316962483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD",
            "address_2": "SUITE 301",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032636",
            "telephone_number": "337-235-8381",
            "fax_number": "337-235-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD",
            "address_2": "SUITE 301",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032636",
            "telephone_number": "337-235-8381",
            "fax_number": "337-235-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "EDWARD",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "01234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1157911",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.