Individual provider Active NPI

Lily Daniali, MD

  • Plastic Surgery Physician
  • Lone Tree, CO
National Provider Identifier
1053553370
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
DR.0056690 Issued in CO
Practice address
10535 Park Meadows Blvd Ste 350
Lone Tree, CO 80124-8401
Phone
(720) 853-5791
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X DR.0056690 CO
Plastic Surgery Physician 208200000X DR.0056690 CO Primary

Addresses

Primary practice location

10535 Park Meadows Blvd Ste 350
Lone Tree, CO 80124-8401

Mailing address

10535 Park Meadows Blvd Ste 350
Lone Tree, CO 80124-8401
Phone (720) 853-5791

Other practice location 1

601 E Hampden Ave Ste 310
Englewood, CO 80113-2769
Phone (706) 863-9595

Other identifiers 1

IdentifierTypeStateIssuer
DR.0056690OtherCOCO MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LILY.DANIALI@hca3.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160708001484 CO Practitioner - Plastic and Reconstructive Surgery 3274858923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Washington School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services Orthopedic Specialists LLCGroup PAC ID 5799972725, 81 clinicians

Practice addresses (Care Compare)

601 E Hampden Ave
Suite 310
Englewood, CO 80113-2769
Phone (303) 788-6466

Hospital & facility affiliations

  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision25
Removal of tissue17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0056690COMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services Orthopedic Specialists LLC CurrentSince Oct 23, 2021 Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

601 E Hampden Ave
Ste 310
Englewood, CO 80113
Phone (303) 788-6466

701 E Hampden Ave
Ste 5
Englewood, CO 80113
Phone (303) 209-2503

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • CO HMO

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1053553370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 PARK MEADOWS BLVD STE 350",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801248401",
            "telephone_number": "720-853-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 PARK MEADOWS BLVD STE 350",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801248401",
            "telephone_number": "720-853-5791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Hampden Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132769",
            "country_code": "US",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIALI",
        "first_name": "LILY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CO",
            "license": "DR.0056690",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "DR.0056690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO MEDICAL LICENSE",
            "identifier": "DR.0056690",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LILY.DANIALI@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "601 E Hampden Ave Ste 310",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801132769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.