Julius Lyonga, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA05106 Issued in TX

Practice address

301 Utica Ave
Lubbock, TX 79416-3111

Phone

(806) 797-4985

Fax

(806) 744-7545

NPI assigned

Jan 8, 2007

Last updated

Feb 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians

CSK Medical PartnersGroup PAC ID 2466404447, 20 clinicians

The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
• Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julius.lyonga@direct.myteamcare.com

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.

• CSK Medical Partners

  dba Lubbock Sports Medicine Associates

  • Specialist
  • Lubbock, TX
  • NPI 1902842404
  Medicare reassignment Care Compare group
• Center for Orthopedic Surgery L.L.P.

  • Orthopaedic Surgery Physician
  • Lubbock, TX
  • NPI 1093873176
  Medicare reassignment
• Dora Roberts Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Big Spring, TX
  • NPI 1760486708
  Care Compare group
• Jason a Ramsey Mdpa Sportszone Orthopedics

  dba SportsZone Orthopedics

  • Orthopaedic Surgery Physician
  • Lubbock, TX
  • NPI 1801401229
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365
  Care Compare affiliation
• Lubbock Heritage Hospital, LLC.

  dba Grace Surgical Hospital

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1225289499
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1740338433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UTICA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163111",
            "telephone_number": "806-797-4985",
            "fax_number": "806-744-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UTICA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163111",
            "telephone_number": "806-797-4985",
            "fax_number": "806-744-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONGA",
        "first_name": "JULIUS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA05106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc (Target Optical #4818)
• Janne Marjorie Lynch, DDS
• Andrea Jill Lynn
• Rachel Lynn, M.D.
• Madison Paige Lynskey, AD, PTA
• Cody Lyons
• Matthew Lytle, PTA
• M. Fawwaz Shoukfeh, M.D., P.a. (Texas Cardiac Center)
• Michael R Macadams, M.D.
• Rebecca M Macdougall, M.D.

• Surgical Physician Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.