Individual provider Active NPI

Shawn Kag-Tso Lyo, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1952804890
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD486076 Issued in PA
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

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240709000292 FL Practitioner - Diagnostic Radiology 1254876816 Reassigns benefits to 2 organizations
I20240711001912 PA Practitioner - Diagnostic Radiology 1254876816 Reassigns benefits to 2 organizations

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
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

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 Hospital, Miami, FL, CCN 100008
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Homestead Hospital Hospital, Homestead, FL, CCN 100125

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Baptist Outpatient Services Inc CurrentSince Jun 1, 2024 Accepting new patients
University of Penn-Medical Group Neuroradiology CurrentSince Aug 1, 2024 Accepting new patients
Mori Bean and Brooks Inc Neuroradiology CurrentSince Jun 1, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Jun 1, 2024 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.