NPIMap

Individual provider Active NPI

Lyle Harrison, M.D.

  • Radiation Oncology Physician
  • El Dorado, KS
National Provider Identifier
1750453361
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
0441126 Issued in KS
Practice address
720 W Central Ave
El Dorado, KS 67042-2112
Phone
(316) 321-8780
Fax
(316) 321-8723
NPI assigned
Nov 15, 2006
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 7666 ND
Radiation Oncology Physician 2085R0001X 0441126 KS Primary

Addresses

Primary practice location

720 W Central Ave
El Dorado, KS 67042-2112

Mailing address

PO Box 781378
Wichita, KS 67278-1378
Phone (316) 321-8780

Other identifiers 2

IdentifierTypeStateIssuer
201205230AMedicaidKS
EA5581OtherKSRADIATION ONCOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20180713000328 KS Practitioner - Radiation Oncology 6608897608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Utah School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2220 Canterbury Dr
Suite 150
Hays, KS 67601-2370
Phone (785) 623-5774

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.54 of 100Reported as individual
Quality
91.91
Improvement activities
0
Cost
79.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0441126KSMDRadiation Oncology Physician
7666NDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc. Current Accepting new patients
Northern Plains Radiation Oncology, P.C. Radiation Oncology PastSince Nov 15, 2005 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

2220 Canterbury Dr
Ste 150
Hays, KS 67601
Phone (785) 623-5774

Interoperability endpoints

  • Direct secure messaging: lharrison276882@ahs.direct-ci.com
  • Direct secure messaging: lyle.harrison@haysmeddirect.com

Organizations & group practices 5

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 3

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1750453361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781378",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672781378",
            "telephone_number": "316-321-8780",
            "fax_number": "316-321-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W CENTRAL AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422112",
            "telephone_number": "316-321-8780",
            "fax_number": "316-321-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ND",
            "license": "7666",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "0441126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201205230A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIATION ONCOLOGY",
            "identifier": "EA5581",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

Verify at the official NPI Registry.