NPIMap

Individual provider Active NPI

Wesley Warren Lyon, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Las Vegas, NV
National Provider Identifier
1538145693
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
NV9807 Issued in NV
Practice address
3150 N Tenaya Way
Suite 215
Las Vegas, NV 89128-0443
Phone
(702) 586-4600
Fax
(866) 409-1683
NPI assigned
Dec 21, 2005
Last updated
Nov 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X NV9807 NV Primary
Foot Surgery Podiatrist 213ES0131X NV9807 NV

Addresses

Primary practice location

3150 N Tenaya Way
Suite 215
Las Vegas, NV 89128-0443

Mailing address

PO Box 1344
Overton, NV 89040-1344
Phone (702) 293-5036

Other identifiers 1

IdentifierTypeStateIssuer
002102008MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091120000197 NV Practitioner - Podiatry 8527107150 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3150 N Tenaya Way
Suite 215
Las Vegas, NV 89128-0444
Phone (702) 586-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue831
Removal of nail tissue339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NV9807NVMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Foot & Ankle Center, LTD. Podiatrist CurrentSince Dec 26, 2003 Accepting new patients
Mountain View Hospital LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients

Locations

999 Adams Blvd
Ste 103
Boulder City, NV 89005
Phone (702) 293-5036

3150 N Tenaya Way
Ste 215
Las Vegas, NV 89128
Phone (702) 293-5036

3483 S Eastern Ave
Las Vegas, NV 89169
Phone (702) 309-2311

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

Organizations & group practices 6

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 5

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1538145693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1344",
            "city": "OVERTON",
            "state": "NV",
            "postal_code": "890401344",
            "telephone_number": "702-293-5036",
            "fax_number": "866-409-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "SUITE 215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-586-4600",
            "fax_number": "866-409-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "WESLEY",
        "middle_name": "WARREN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NV",
            "license": "NV9807",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NV",
            "license": "NV9807",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002102008",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.