Active NPI
Piper P Lillard, D.O.
- Family Medicine Physician
- Bolton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 230057
- Practice address
- 921 Boston Tpke
Suite 2
Bolton, CT 06043-7403 - Phone
- (860) 646-0649
- Fax
- (860) 649-9195
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
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- Geriatric Medicine (Internal Medicine) Physician
- Framingham, MA
- NPI 1134951676
CT
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- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
CT
-
- Student Health Clinic/Center
- Storrs Mansfield, CT
- NPI 1629097043
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HDC Care Solutions LLCValue Based Long Term Care H PC
Practice addresses (Care Compare)
101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681
Hospital & facility affiliations
- Day Kimball Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090211000199 | CT | Practitioner - Family Practice | 9830254622 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230057 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alignmed Partners, PC | Current | Accepting new patients | |
| University of Connecticut Student Health and Wellness | Past | Accepting new patients |
Locations
850 Mix Ave
Hamden, CT 06514
Phone (203) 281-3500
1 Emerson Dr
Windsor, CT 06095
Phone (860) 688-6443
1660 Easton Rd
Warrington, PA 18976
Phone (215) 345-3205
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 230057 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
921 Boston Tpke
Suite 2
Bolton, CT 06043-7403
Mailing address
54 Eastbrook HTS Apt B
Mansfield Center, CT 06250-1669
Phone (860) 456-0586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2019.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1104920065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 EASTBROOK HTS APT B",
"city": "MANSFIELD CENTER",
"state": "CT",
"postal_code": "062501669",
"telephone_number": "860-456-0586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 BOSTON TPKE",
"address_2": "SUITE 2",
"city": "BOLTON",
"state": "CT",
"postal_code": "060437403",
"telephone_number": "860-646-0649",
"fax_number": "860-649-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLARD",
"first_name": "PIPER",
"middle_name": "P",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "230057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.