Individual provider Active NPI

Kathleen Jane Lyssy, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1831182005
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J8039 Issued in TX
Practice address
6100 Bandera Rd
403
San Antonio, TX 78238-1652
Phone
(210) 256-9500
Fax
(210) 256-8720
NPI assigned
Aug 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J8039 TX Primary

Addresses

Primary practice location

6100 Bandera Rd
403
San Antonio, TX 78238-1652

Mailing address

6100 Bandera Rd
403
San Antonio, TX 78238-1652
Phone (210) 256-9500

Other identifiers 1

IdentifierTypeStateIssuer
0086EUOtherTXBLUE CROSS BLUE SHIELD

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000108 TX Practitioner - Internal Medicine 5698798247

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
30.88 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
76.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8039TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Jane Lyssy MD PA Internal Medicine CurrentSince Dec 1, 2005 Accepting new patients

Locations

6100 Bandera Rd
Ste 403
San Antonio, TX 78238
Phone (210) 256-9500

Organizations & group practices 1

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831182005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BANDERA RD",
            "address_2": "403",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381652",
            "telephone_number": "210-256-9500",
            "fax_number": "210-256-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 BANDERA RD",
            "address_2": "403",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381652",
            "telephone_number": "210-256-9500",
            "fax_number": "210-256-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSSY",
        "first_name": "KATHLEEN",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J8039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0086EU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.