Individual provider Active NPI

Piper P Lillard, D.O.

  • Family Medicine Physician
  • Bolton, CT
National Provider Identifier
1104920065
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
230057 Issued in CT
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.

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 LLC 190 clinicians
Value Based Long Term Care H PC 145 clinicians

Practice addresses (Care Compare)

101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681

Hospital & facility affiliations

  • Day Kimball Hospital Hospital, Putnam, CT, CCN 070003

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
230057CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince Oct 13, 2019 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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 230057 CT Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.