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Deactivated NPI 1407875248 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas W. Lyles , MD

Specialist • Tyler, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Lyles has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 19, 2006
NPI Deactivation Date April 03, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Lyles, MD was a registered Specialist practicing in Tyler, TX. Throughout an active medical career spanning 18 years, Dr. Lyles provided care at the practice location at 1038 S FLEISHEL AVE until profile deactivation on 2024-04-03.

Practice Location & Contact Primary Location

Practice Address

1038 S Fleishel Ave

Tyler, TX 757012044

Telephone 9035939474
Associated Practice Facility / Clinic
🏢 Summit Dermatology, Pllc Facility NPI 1912418963

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Tyler, TX (2033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX C5153

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Jason Blaser , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1265477681

Doctor of Medicine (M.D.)

Keelie Johnston , PA-C

Physician Assistant

NPI 1386344471

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 03, 2024

Record deactivated on April 03, 2024

NPI Profile Active September 17, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 17, 2012

Registered at 1038 S FLEISHEL AVE, TYLER, TX 757012044 (Tel: 9035939474)

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Updated Business Mailing Address September 17, 2012

Registered at 1038 S FLEISHEL AVE, TYLER, TX 757012044 (Tel: 9035939474)

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Provider Name / Credentials Updated September 17, 2012

Recorded as THOMAS LYLES, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2012

Specialist (License #C5153 in TX)

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Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407875248
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: September 17, 2012
Deactivation Date: April 03, 2024

Mailing Address

1038 S Fleishel Ave

Tyler, TX 757012044

Phone: 9035939474

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.