Individual provider Active NPI

Lyla Janeil Correoso Thomas, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Columbia, MD
National Provider Identifier
1083737399
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
150944 Issued in NY
Practice address
5457 Twin Knolls Rd Ste 100
Columbia, MD 21045-3263
Phone
(410) 689-7400
Fax
(877) 820-2756
NPI assigned
Apr 10, 2007
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 150944 NY Primary

Addresses

Primary practice location

5457 Twin Knolls Rd Ste 100
Columbia, MD 21045-3263

Mailing address

17855 Dallas Pkwy Ste 200
Dallas, TX 75287-6857
Phone (346) 376-1702

Other practice location 1

1 Edgewater Dr Ste 103
Norwood, MA 02062-4669
Phone (617) 454-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, FL, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20201030001721 DC Practitioner - Internal Medicine 4183767668 Reassigns benefits to 1 organization
I20201102002523 MD Practitioner - Internal Medicine 4183767668 Reassigns benefits to 1 organization
I20211014000955 FL Practitioner - Internal Medicine 4183767668 Reassigns benefits to 1 organization
I20250813002008 GA Practitioner - Internal Medicine 4183767668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17855 Dallas Pkwy
Suite 200
Dallas, TX 75287-6818

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of Georgia PC CurrentSince Jul 23, 2025 Accepting new patients
Seasons Medical Group of Florida PA CurrentSince Oct 1, 2021 Accepting new patients
Seasons Hospice & Palliative Care of Georgia, LLC CurrentSince Jul 23, 2025 Accepting new patients
Seasons Hospice & Palliative Care of Broward Florida LLC PastSince Oct 1, 2021 Accepting new patients
Seasons Hospice & Palliative Care of Massachusetts, LLC PastSince Aug 28, 2022 Accepting new patients
Seasons Hospice & Palliative Care of Tampa, LLC Past Accepting new patients
Seasons Medical Group of Massachusetts, PC PastSince Jan 15, 2023 Accepting new patients

Locations

1815 Griffin Rd
Ste 410
Dania Beach, FL 33004
Phone (954) 624-7900

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

1408 N West Shore Blvd
Ste 260
Tampa, FL 33607
Phone (813) 607-2630

11675 Great Oaks Way
Ste 310
Alpharetta, GA 30022
Phone (404) 250-4950

6400 Shafer Ct
Ste 700
Rosemont, IL 60018

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

Organizations & group practices 8

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 2

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1083737399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17855 DALLAS PKWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876857",
            "telephone_number": "346-376-1702",
            "fax_number": "224-532-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453263",
            "telephone_number": "410-689-7400",
            "fax_number": "877-820-2756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Edgewater Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020624669",
            "country_code": "US",
            "telephone_number": "617-454-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREOSO THOMAS",
        "first_name": "LYLA",
        "middle_name": "JANEIL",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "150944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.