DR. REGGIE DUANE LYELL M.D. NPI 1184660664

NPI Information

NPI: 1184660664
Provider Name: DR. REGGIE DUANE LYELL, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
313 FEDERAL DR NW
SUITE 200
CORYDON, IN
ZIP 47112
Phone: (812) 738-4155
Get Directions

DR. Reggie Duane Lyell, M.D. is a family medicine in Corydon, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Reggie Duane Lyell, M.D. NPI is 1184660664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

313 FEDERAL DR NW
SUITE 200
CORYDON, IN
ZIP 47112-070
Phone: (812) 738-4155
Fax: (812) 738-6104

The NPI 1184660664 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 12/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		01042535	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	080062749	OTHER	INDIANA	MEDICARE RR
2	1017630001	OTHER	INDIANA	DMERC
3	338886P	OTHER	INDIANA	SIHO
4	351920057	OTHER	INDIANA	GROUP TAX ID
5	42639	OTHER	INDIANA	ANTHEM
6	0180571	OTHER	INDIANA	UNHEALTHCARE
7	12044V10062	OTHER	INDIANA	AHDSH
8	100380200A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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