Individual provider Active NPI

Thomas Lillis, CRNA

  • Certified Registered Nurse Anesthetist
  • Yonkers, NY
National Provider Identifier
1093804866
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
432918-1 Issued in NY
Practice address
127 S Broadway
St. Josephs Medical Center
Yonkers, NY 10701-4006
Phone
(914) 378-7000
Fax
(845) 790-2675
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 432918-1 NY Primary

Addresses

Primary practice location

127 S Broadway
St. Josephs Medical Center
Yonkers, NY 10701-4006

Mailing address

2 Catharine St
P.O. Box 550
Poughkeepsie, NY 12601-3100
Phone (866) 868-8417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315000856 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052200177 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Anesthesia Services, P.C.Group PAC ID 0840383857, 47 clinicians

Practice addresses (Care Compare)

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-6131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
432918-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Sep 21, 2025 Accepting new patients
Jamaica Anesthesiologist, PC CurrentSince Dec 30, 2013 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Nov 1, 2022 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
East River Medical Associates P.C. CurrentSince Jun 1, 2017 Accepting new patients
Upstate Anesthesia Services, P.C. CurrentSince Apr 28, 2020 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Nov 1, 2022 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Dec 9, 2017 Accepting new patients
St John'S Medical Services PC Past Accepting new patients

Locations

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

535 E 70th St
New York, NY 10021

170 William St
New York, NY 10038
Phone (212) 238-0100

50 Water St
Fl 3
New York, NY 10004

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

300 Community Dr
Plandome, NY 11030

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1093804866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CATHARINE ST",
            "address_2": "P.O. BOX 550",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013100",
            "telephone_number": "866-868-8417",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BROADWAY",
            "address_2": "ST. JOSEPHS MEDICAL CENTER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014006",
            "telephone_number": "914-378-7000",
            "fax_number": "845-790-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLIS",
        "first_name": "THOMAS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "432918-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.