Individual provider Active NPI

Antonio J.N. Lykos, DO

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1497740138
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J2171 Issued in TX
Practice address
4601 Oso Pkwy
Corpus Christi, TX 78413-5270
Phone
(361) 549-6420
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J2171 TX
Emergency Medicine Physician 207P00000X J2171 TX Primary

Addresses

Primary practice location

4601 Oso Pkwy
Corpus Christi, TX 78413-5270

Mailing address

4601 Oso Pkwy
Corpus Christi, TX 78413-5270
Phone (361) 549-6420

Other identifiers 1

IdentifierTypeStateIssuer
139855409MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041014000497 TX Practitioner - Family PracticePractitioner - Emergency Medicine 3678533619

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Emergency Pyhsicians, LLP Emergency Medicine Past Accepting new patients
Janet L. Perez FNP-BC Inc. Past Accepting new patients
Antonio Guzman M.D.,.P.a. Past Accepting new patients
Ghep Corpus Christi PLLC Emergency Medicine Past Accepting new patients
Bayside Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Organizations & group practices 5

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1497740138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 OSO PKWY",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135270",
            "telephone_number": "361-549-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 OSO PKWY",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135270",
            "telephone_number": "361-549-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYKOS",
        "first_name": "ANTONIO",
        "middle_name": "J.N.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2171",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J2171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139855409",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.