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DR. KATHLEEN JANE LYSSY MD
NPI 1508069840
Internal Medicine in San Antonio, TX

Active since June 06, 2007CLIA 45D0979970 · Waiver
6100 BANDERA ROAD, SUITE 403, SAN ANTONIO, TX 78238(210) 256-9500(210) 256-8720 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathleen Jane Lyssy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHLEEN JANE LYSSY MD (NPI 1508069840) is a healthcare organization registered as an internal medicine in San Antonio, Texas and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through November 6, 2026 and lists Melissa K Souhrada, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508069840
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKATHLEEN JANE LYSSY MD PA
Location Address6100 BANDERA ROAD, SUITE 403San Antonio, TX 78238-1653
Mailing Address6100 Bandera Road, Suite 403San Antonio, TX 78238-1653 · (210) 256-9500 · Fax (210) 256-8720
Phone(210) 256-9500
Fax(210) 256-8720
Organization SubpartNo
Authorized OfficialMelissa K SouhradaOffice Manager · (210) 256-9500
Enumeration DateJune 6, 2007
Last NPPES UpdateJuly 2, 2008
✔ NPI 1508069840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6100 BANDERA ROAD, San Antonio, TX 78238
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Other Names 1

Other NameDr. Kathleen Jane Lyssy Md

Other Identifiers 3

Medicare UPING17104TX
Other00Z061TX · Medicare Group Ptan
Other00Z061TX · Medicare Individual Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0979970

Kathleen Jane Lyssy MD · San Antonio, TX
Active · expires Nov 6, 2026
CLIA Number45D0979970
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorKathleen J. Lyssy
Laboratory Phone(210) 256-9500
Laboratory LocationKathleen Jane Lyssy MD6100 Bandera Rd Suite 403, San Antonio, TX 78238
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kathleen Jane Lyssy MD PA's NPI number?

The NPI number for Kathleen Jane Lyssy MD PA is 1508069840. It was assigned to this organization in the NPPES registry on June 6, 2007. The provider is also known as Dr. Kathleen Jane Lyssy MD.

Where is Kathleen Jane Lyssy MD PA located?

Kathleen Jane Lyssy MD PA is located at 6100 Bandera Road Suite 403, San Antonio, TX 78238. The listed phone number is (210) 256-9500.

What is Kathleen Jane Lyssy MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Kathleen Jane Lyssy MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0979970) is associated with this NPI, valid through November 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kathleen Jane Lyssy MD PA was last updated on July 2, 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.