Individual provider Active NPI

Lyle Dean Haskell, DPM

  • Podiatrist
  • Plano, TX
National Provider Identifier
1609825207
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0979 Issued in TX
Practice address
5941 Dallas Pkwy Ste 100
Plano, TX 75093-9002
Phone
(972) 758-4455
Fax
(972) 812-4196
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0979 TX Primary

Addresses

Primary practice location

5941 Dallas Pkwy Ste 100
Plano, TX 75093-9002

Mailing address

1105 Central Expy N
Suite 220
Allen, TX 75013-6103
Phone (972) 727-7060

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000451 TX Practitioner - Podiatry 9931101110 Reassigns benefits to 1 organization
Practice locations: Allen, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors of Internal Medicine PAGroup PAC ID 5092750620, 27 clinicians

Practice addresses (Care Compare)

240 Adriatic Pkwy
McKinney, TX 75070-8278
Phone (972) 382-9292

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0979TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Internal Medicine PLLC CurrentSince Dec 16, 2023 Accepting new patients
Lyle Haskell DPM PLLC Current Accepting new patients

Locations

1105 Central Expy N
Ste 220
Allen, TX 75013
Phone (972) 727-7060

7145 N President George Bush Hwy
Garland, TX 75044
Phone (972) 530-1900

240 Adriatic Pkwy
McKinney, TX 75072
Phone (972) 369-1471

5941 Dallas Pkwy
Plano, TX 75093
Phone (972) 758-4455

5941 Dallas Pkwy
Ste 100
Plano, TX 75093
Phone (972) 758-4455

525 Shiloh Rd
Ste 3100
Plano, TX 75074
Phone 90389351414355

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1609825207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N",
            "address_2": "SUITE 220",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136103",
            "telephone_number": "972-727-7060",
            "fax_number": "972-727-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 DALLAS PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750939002",
            "telephone_number": "972-758-4455",
            "fax_number": "972-812-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKELL",
        "first_name": "LYLE",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.