LYLE E WADSWORTH MD PA
NPI 1205018207
Internal Medicine in Deland, FL
About Lyle E Wadsworth Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYLE E WADSWORTH MD PA (NPI 1205018207) is a healthcare organization registered as an internal medicine in Deland, Florida and active in the NPI registry since November 2007. The organization lists Lyle E. Wadsworth, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lyle E Wadsworth Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lyle E Wadsworth MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lyle E Wadsworth MD PA's NPI number?
The NPI number for Lyle E Wadsworth MD PA is 1205018207. It was assigned to this organization in the NPPES registry on November 30, 2007.
Where is Lyle E Wadsworth MD PA located?
Lyle E Wadsworth MD PA is located at 890 N Boundary Ave Ste 102, Deland, FL 32720. The listed phone number is (386) 740-0224.
What is Lyle E Wadsworth MD PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Lyle E Wadsworth MD PA enrolled in Medicare?
Yes. Lyle E Wadsworth MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lyle E Wadsworth MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lyle E Wadsworth MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lyle E Wadsworth MD PA was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lyle E Wadsworth Md Pa · NPI 1205018207
Internal Medicine organization in Deland, Florida. Organization record, active in the CMS NPPES registry since November 30, 2007.
## Identity
- **NPI:** 1205018207 (Entity type: Organization)
- **Enumerated:** November 30, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Lyle Wadsworth, PRESIDENT
## Practice location
- **Address:** 890 N BOUNDARY AVE STE 102, Deland, FL 32720-3173
- **Phone:** (386) 740-0224
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2008
- **Other identifiers:** Medicare UPIN D56770 (FL); Other 000050266105 (FL); Other 5490138 (FL); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1205018207) · Data from the CMS NPPES public registry.