NPIMap

Individual provider Active NPI

Adam A Lyko, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Post Falls, ID
National Provider Identifier
1659485332
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
M13023 Issued in ID
Practice address
1125 E Polston Ave Ste B
Post Falls, ID 83854-6045
Phone
(208) 758-0075
Fax
(208) 758-0076
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD60243932 WA
Internal Medicine Physician 207R00000X A80182 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X M13023 ID Primary

Addresses

Primary practice location

1125 E Polston Ave Ste B
Post Falls, ID 83854-6045

Mailing address

PO Box 3482
Post Falls, ID 83877-3482
Phone (208) 758-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20150914002077 ID Practitioner - Endocrinology 0345270047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Loma Linda University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Selkirk Endocrinology, PLLCGroup PAC ID 5294097176, 3 clinicians

Practice addresses (Care Compare)

1125 E Polston Ave
Post Falls, ID 83854-6045
Phone (208) 758-0075

1125 E Polston Ave B
Post Falls, ID 83854-6045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80182CAMDInternal Medicine Physician
M13023IDMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Hugo RDN LD CurrentSince Aug 1, 2021 Accepting new patients

Locations

1125 E Polston Ave
#B
Post Falls, ID 83854
Phone (208) 640-4502

Interoperability endpoints

  • Direct secure messaging: adamlyko@selkirkendocrinology.kareodirect.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.

Hospital & facility affiliations 7

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1659485332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3482",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838773482",
            "telephone_number": "208-758-0075",
            "fax_number": "208-758-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E POLSTON AVE STE B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546045",
            "telephone_number": "208-758-0075",
            "fax_number": "208-758-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYKO",
        "first_name": "ADAM",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WA",
            "license": "MD60243932",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A80182",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "ID",
            "license": "M13023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.