Individual provider Active NPI

Michael F Lyons II, MD

  • Gastroenterology Physician
  • Tacoma, WA
National Provider Identifier
1497732689
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD23549 Issued in WA
Practice address
1112 6TH Ave
200
Tacoma, WA 98405-4040
Phone
(253) 272-8664
Fax
(253) 428-8136
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD23549 WA Primary

Addresses

Primary practice location

1112 6TH Ave
200
Tacoma, WA 98405-4040

Mailing address

1112 6TH Ave
200
Tacoma, WA 98405-4040
Phone (253) 272-8664

Other identifiers 3

IdentifierTypeStateIssuer
LY2347OtherREGENCE
77667OtherWALABOR & INDUSTRIES
8123978MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20191011000275 ME Practitioner - Internal MedicinePractitioner - Gastroenterology 3375446404 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD23549WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penobscot Valley Hospital CurrentSince Sep 1, 2019 Accepting new patients
Penobscot Valley Hospital CurrentSince Sep 1, 2019 Accepting new patients

Locations

7 Transalpine Rd
Lincoln Ctr, ME 04457
Phone (207) 794-3321

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22
  • Direct secure messaging: michael.lyons.1@5664.direct.athenahealth.com

Organizations & group practices 2

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497732689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 6TH AVE",
            "address_2": "200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054040",
            "telephone_number": "253-272-8664",
            "fax_number": "253-428-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 6TH AVE",
            "address_2": "200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054040",
            "telephone_number": "253-272-8664",
            "fax_number": "253-428-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD23549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "LY2347",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "77667",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8123978",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.