Julia Travis Lyles, MD
Individual provider Active NPI Internal Medicine Physician · Benton, KY
NPI 1740434307 · NPPES record last updated Feb 1, 2011
Key facts
- NPI
- 1740434307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 42500 (KY)
- Practice address
- 617 Old Symsonia Rd
Benton, KY 42025-5042 - Phone
- (270) 527-2411
- Fax
- (270) 527-8734
- NPI assigned
- Nov 10, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Kentucky College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marshall County Hospital District
Practice addresses (Care Compare)
617 Old Symsonia Rd
Benton, KY 42025-5042
Phone (270) 527-2411
619 Old Symsonia Rd
Benton, KY 42025-5042
Hospital & facility affiliations
- Marshall County Hospital Home Health
- Marshall County Hospital
- Mercy Health - Lourdes Hospital
- Jackson Purchase Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 148 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090819000591 | KY | Practitioner - Internal Medicine | 4981758356 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall County Hospital District | Current |
Accepting new patients | |
| Marshall County Hospital District | Internal Medicine | Current |
Accepting new patients |
| Marshall County Hospital District | Past | Accepting new patients |
Locations
617 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-2411
619 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-0880
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/marshal-fc975078
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42500 | KY | Yes |
Addresses
Primary practice location
617 Old Symsonia Rd
Benton, KY 42025-5042
Mailing address
617 Old Symsonia Rd
Benton, KY 42025-5042
Phone (270) 527-2411
Other providers in Benton, KY
- Ellen Litchfield
- Elissa Locker
- Jessica Lovett
- Lyles Eye Center, PLLC
- Aaron J. Lyles
- Natasha G. Lyles
- Amber Manning
- Marshall County Anesthesia
- Marshall County Anesthesia PLLC
- Marshall County Assn. for Exceptional Children and Adults, Inc
All providers in Benton, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.