Individual provider Active NPI

Robert D Lyon, M.D.

  • Vascular & Interventional Radiology Physician
  • Mequon, WI
National Provider Identifier
1457335614
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
41880 Issued in WI
Practice address
10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078
Phone
(262) 292-3151
NPI assigned
Dec 1, 2005
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 41880 WI
Vascular & Interventional Radiology Physician 2085R0204X 41880 WI Primary

Addresses

Primary practice location

10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078

Mailing address

10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078
Phone (262) 292-3151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TN, IL3 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
I20050927000479 WI Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5890729081 Reassigns benefits to 6 organizations
I20210422000105 TN Practitioner - Diagnostic Radiology 5890729081 Reassigns benefits to 1 organization
I20240304000722 IL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5890729081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
George Washington University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians

Practice addresses (Care Compare)

10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 325-4700

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

12831 N Port Washington Rd
Mequon, WI 53097-2416
Phone (414) 973-7844

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300

19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 785-2000

2061 Cheyenne CT
Grafton, WI 53024-9368
Phone (262) 376-1934

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000

2408 Four Mile Rd
Caledonia, WI 53402-2091
Phone (262) 687-5995

3237 S 16TH St
Milwaukee, WI 53215-4526
Phone (414) 647-5000

375 W River Woods Pkwy
Glendale, WI 53212-1080
Phone (414) 973-7842

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011

3807 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8300

3811 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-5300

4935 S 76TH St
Greenfield, WI 53220-4305
Phone (414) 973-7846

5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000

788 N Jefferson St
Milwaukee, WI 53202-3718
Phone (414) 272-8950

801 S 70TH St
West Allis, WI 53214-3147
Phone (414) 773-6600

9252 N Green Bay Rd
Brown Deer, WI 53209-1104
Phone (414) 270-8150

N112W15415 Mequon Rd
Germantown, WI 53022-3410
Phone (262) 250-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41880WIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc Current Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Sep 11, 2019 Accepting new patients
Precision Radiology - Illinois LTD CurrentSince Feb 1, 2023 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Jan 4, 2026 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Sep 11, 2019 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Diagnostic Radiology CurrentSince Sep 1, 2008 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Apr 5, 2021 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Aurora Advanced Healthcare Inc Past Accepting new patients
Sacred Heart Rehabilitation Institute, Inc. PastSince Jun 21, 2022 Accepting new patients
Medical Xray Consultants, LTD PastSince May 16, 2021 Accepting new patients

Locations

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

7400 W Rawson Ave
Ste G40
Franklin, WI 53132
Phone (414) 282-5314

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

6900 N Port Washington Rd
Glendale, WI 53217
Phone (414) 270-8100

7080 N Port Washington Rd
Glendale, WI 53217
Phone (414) 228-4940

6080 S 108th St
Hales Corners, WI 53130
Phone (414) 282-5314

2025 W Oklahoma Ave
Ste 121
Milwaukee, WI 53215
Phone (414) 671-1711

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

2745 W Layton Ave
Ste 206
Milwaukee, WI 53221
Phone (414) 281-9665

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

1317 W Grand Ave
Prt Washingtn, WI 53074
Phone (262) 268-6998

830 E Green Bay Ave
Saukville, WI 53080
Phone (262) 284-7117

830 E Green Bay Ave
Ste 103
Saukville, WI 53080
Phone (262) 268-0606

1414 N Taylor Dr
Ste 210
Sheboygan, WI 53081
Phone (262) 243-2500

10945 N Port Washington Rd
Ste 201
Thiensville, WI 53092
Phone (262) 478-0301

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 12

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 6

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1457335614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 N PORT WASHINGTON RD STE 201",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925078",
            "telephone_number": "262-292-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 N PORT WASHINGTON RD STE 201",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925078",
            "telephone_number": "262-292-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "41880",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "41880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.