Individual provider Active NPI

Daniel Forrest Lyons, M.D., PH.D

  • Neonatal-Perinatal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1437690716
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
335784 Issued in LA
Practice address
500 Rue de la Vie St Ste 405
Baton Rouge, LA 70817-5128
Phone
(225) 928-2555
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 335784 LA Primary

Addresses

Primary practice location

500 Rue de la Vie St Ste 405
Baton Rouge, LA 70817-5128

Mailing address

500 Rue de la Vie St Ste 405
Baton Rouge, LA 70817-5128
Phone (225) 928-2555

Other identifiers 1

IdentifierTypeStateIssuer
2620606MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20170914002325 MS Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9234403262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
335784LAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Neonatal Associates, Inc. PastSince Jun 16, 2024 Accepting new patients
East Baton Rouge Medical Center LLC Past Accepting new patients
Woman'S Hospital Foundation Past Accepting new patients
Baton Rouge Neonatal Associates, Inc. Neonatal-Perinatal Medicine PastSince Jun 16, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dlyons54597@ummc.direct-ci.com

Organizations & group practices 4

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1437690716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST STE 405",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175128",
            "telephone_number": "225-928-2555",
            "fax_number": "225-929-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST STE 405",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175128",
            "telephone_number": "225-928-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "DANIEL",
        "middle_name": "FORREST",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "LA",
            "license": "335784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2620606",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.