NPIMap

Individual provider Active NPI

Lily S Narusevicius, MD

  • Internal Medicine Physician
  • Reading, MA
National Provider Identifier
1053488692
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234390 Issued in MA
Practice address
30 New Crossing Rd
Suite 200
Reading, MA 01867-3270
Phone
(781) 213-5170
Fax
(781) 213-5175
NPI assigned
Nov 29, 2006
Last updated
May 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 234390 MA Primary
Internal Medicine Physician 207R00000X 037308 GA

Addresses

Primary practice location

30 New Crossing Rd
Suite 200
Reading, MA 01867-3270

Mailing address

30 New Crossing Rd
Suite 200
Reading, MA 01867-3270
Phone (781) 213-5170

Other identifiers 1

IdentifierTypeStateIssuer
00568378BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080807000184 MA Practitioner - Internal Medicine 0749388270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

331 Highland Ave
Salem, MA 01970-7006
Phone (978) 745-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037308GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc Internal Medicine CurrentSince Jan 2, 2013 Accepting new patients
Medical Group, Inc., the Internal Medicine Past Accepting new patients
Hallmark Health Medical Associates Inc Internal Medicine PastSince Sep 1, 2016 Accepting new patients
Piedmont Medical Care Corporation Internal Medicine PastSince Dec 29, 1995 Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

331 Highland Ave
Salem, MA 01970
Phone (978) 744-3499

Interoperability endpoints

  • Direct secure messaging: narusevicius.lily.nsmc@direct.partners.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1053488692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEW CROSSING RD",
            "address_2": "SUITE 200",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673270",
            "telephone_number": "781-213-5170",
            "fax_number": "781-213-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NEW CROSSING RD",
            "address_2": "SUITE 200",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673270",
            "telephone_number": "781-213-5170",
            "fax_number": "781-213-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARUSEVICIUS",
        "first_name": "LILY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "234390",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "037308",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00568378B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

Verify at the official NPI Registry.