Active NPI
Shawn Kag-Tso Lyo, MD
- Diagnostic Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD486076
- Practice address
- 3400 Spruce St
Philadelphia, PA 19104-4229 - Phone
- (215) 662-3000
- Fax
- (215) 662-7011
- NPI assigned
- Mar 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | ME168767 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | MD486076 | PA | Primary |
Addresses
Primary practice location
3400 Spruce St
Philadelphia, PA 19104-4229
Mailing address
3400 Spruce St
1 Silverstein
Philadelphia, PA 19104-4229
Phone (215) 662-3000
Other practice location 1
1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone (718) 918-3230
Other practice location 2
8900 N Kendall Dr Fl 2
Miami, FL 33176-2118
Phone (347) 255-6737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Giralda Ave
Suite 120
Coral Gables, FL 33134-5303
Phone (786) 467-5052
1001 Chesterbrook Blvd
Berwyn, PA 19312-3805
1001 Chesterbrook Blvd 3Rd FL W
Pain Medicine Valley Forge
Berwyn, PA 19312-3805
Phone (215) 893-7246
1001 Chesterbrook Blvd 3Rd Floor
Berwyn, PA 19312-3805
Phone (610) 576-7500
10125 Glades Rd
Boca Raton, FL 33498-6739
Phone (904) 399-5550
110 S Front St
Unit 800
Philadelphia, PA 19106-3065
Phone (904) 399-5550
1204 General Mercer Ave
Washington Crossing, PA 18977-1211
Phone (904) 399-5550
1228 S Pine Island Rd
Suite 120
Plantation, FL 33324-4580
Phone 95483714204580
13500 Sw152Nd St
Suite 120
Miami, FL 33177-1111
Phone (786) 596-4333
13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550
145 King of Prussia Rd
Radnor, PA 19087-4557
145 King of Prussia Rd 201
Radnor, PA 19087-4557
145 King of Prussia Rd 203
Radnor, PA 19087-4557
145 King of Prussia Rd 302
GYN/Onc Radnor
Radnor, PA 19087-4557
Phone (610) 902-2500
145 King of Prussia Rd N
G102 Oto Surgery Radnor
Philadelphia, PA 19087-4557
Phone (610) 902-5500
145 King of Prussia Rd N G
1 Rad Onc Rdanor
Radnor, PA 19087-4557
Phone (610) 902-4580
145 King of Prussia Road G-103
Oral/Maxillo Surg Radnor
Radnor, PA 19087-4557
Phone (610) 902-2100
14660 SW 8TH St
Suite 120
Miami, FL 33184-3135
Phone (786) 596-4200
15885 Pines Blvd
Suite 120
Pembroke Pines, FL 33027-1220
Phone (954) 837-1350
15955 SW 96 St
Miami, FL 33196-1272
1628 Watterson CT
Upper Saint Clair, PA 15241-3149
Phone (904) 399-5550
19955 NW 27TH Ave
Suite 120
Miami Gardens, FL 33056-2675
Phone (786) 595-1310
20991 Old Cutler Rd
Cutler Bay, FL 33189-2469
Phone (786) 595-1795
2660 Brickell Ave
Miami, FL 33129-2800
Phone (786) 467-5320
3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Hospital & facility affiliations
- Baptist Hospital of Miami
- South Miami Hospital
- Doctors Hospital
- Boca Raton Regional Hospital
- Homestead Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| Baptist Outpatient Services Inc | Current | Accepting new patients | |
| University of Penn-Medical Group | Neuroradiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Neuroradiology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Baptist Outpatient Services Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020
20997 Old Cutler Rd
Cutler Bay, FL 33189
Phone (786) 595-1780
8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810
8950 SW 88th St
Miami, FL 33176
Phone (305) 271-8950
8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
3400 Spruce St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-3005
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
Organizations & group practices 6
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.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1437127529
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1558759571
Neuroradiology
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Home Infusion Therapy Pharmacy
- Miami Lakes, FL
- NPI 1316662299
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
- General Acute Care Hospital
- Coral Gables, FL
- NPI 1952351983
-
- General Acute Care Hospital
- Homestead, FL
- NPI 1578547865
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1952804890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"address_2": "1 SILVERSTEIN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044229",
"telephone_number": "215-662-3000",
"fax_number": "215-662-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044229",
"telephone_number": "215-662-3000",
"fax_number": "215-662-7011"
}
],
"practiceLocations": [
{
"address_1": "1400 Pelham Pkwy S",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104611138",
"country_code": "US",
"telephone_number": "718-918-3230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8900 N Kendall Dr Fl 2",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331762118",
"country_code": "US",
"telephone_number": "347-255-6737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYO",
"first_name": "SHAWN",
"middle_name": "KAG-TSO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-16",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "FL",
"license": "ME168767",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD486076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.