Individual provider Active NPI

Robert William Pedro Lyday, DO

  • Anesthesiology Physician
  • Providence, UT
National Provider Identifier
1376170258
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
7827850-1204 Issued in UT
Practice address
560 W 465 N Ste 604
Providence, UT 84332-8006
Phone
(435) 753-1600
Fax
(435) 753-9521
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 7827850-1204 UT Primary

Addresses

Primary practice location

560 W 465 N Ste 604
Providence, UT 84332-8006

Mailing address

560 W 465 N Ste 604
Providence, UT 84332-8006
Phone (435) 753-1600

Other identifiers 1

IdentifierTypeStateIssuer
1376170258MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlyday667026@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, UT, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240913001289 WY Practitioner - Anesthesiology 4587095005 Reassigns benefits to 1 organization
I20241203004207 UT Practitioner - Anesthesiology 4587095005 Reassigns benefits to 2 organizations
I20251106004887 TX Practitioner - Anesthesiology 4587095005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
Interwest Anesthesia Associates LLCGroup PAC ID 0042293359, 29 clinicians
Brigham Anesthesia, LLCGroup PAC ID 9335108299, 5 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

500 E 1400
Logan, UT 84341
Phone (435) 716-1000

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

950 Medical Dr
Brigham City, UT 84302-4724
Phone (435) 734-9471

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T7982TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Anesthesiology CurrentSince Oct 8, 2025 Accepting new patients
North Lincoln County Hospital District CurrentSince Aug 29, 2024 Accepting new patients
Interwest Anesthesia Associates LLC Anesthesiology CurrentSince Nov 1, 2025 Accepting new patients
Scott & White Clinic Anesthesiology Current Accepting new patients
Scott and White Clinic Anesthesiology CurrentSince Oct 8, 2025 Accepting new patients
Brigham Anesthesia, LLC Anesthesiology CurrentSince Sep 26, 2024 Accepting new patients
North Lincoln County Hospital District Past Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

55 E Golf Course Rd
Logan, UT 84321
Phone (435) 760-3734

560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

Interoperability endpoints

  • Direct secure messaging: rlyday667026@direct.sw.org

Organizations & group practices 8

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 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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1376170258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W 465 N STE 604",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843328006",
            "telephone_number": "435-753-1600",
            "fax_number": "435-753-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W 465 N STE 604",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843328006",
            "telephone_number": "435-753-1600",
            "fax_number": "435-753-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDAY",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM PEDRO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "7827850-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376170258",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlyday667026@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 S 31st St",
            "city": "TEMPLE",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, UT

Sources for this page

Verify at the official NPI Registry.