Individual provider Active NPI

Lilit Garibyan, M.D, PH.D.

  • Dermatology Physician
  • Beverly, MA
National Provider Identifier
1114153004
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
254443 Issued in MA
Practice address
900 Cummings Ctr Ste 311T
Beverly, MA 01915-6260
Phone
(978) 225-3376
Fax
(978) 560-1245
NPI assigned
Jun 5, 2009
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 254443 MA Primary

Addresses

Primary practice location

900 Cummings Ctr Ste 311T
Beverly, MA 01915-6260

Mailing address

900 Cummings Ctr Ste 311T
Beverly, MA 01915-6260
Phone (978) 225-3376

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address derm@mda.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20130807000243 MA Practitioner - Dermatology 4385802008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massderm Billing PCGroup PAC ID 2062837503, 14 clinicians
Massachusetts Dermatology Associates, P.C.Group PAC ID 4284864331, 15 clinicians

Practice addresses (Care Compare)

900 Cummings Ctr
Suite 311T
Beverly, MA 01915-6260
Phone (978) 225-3376

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of skin lesions828
Skin biopsy211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129768CAMDMarriage & Family Therapist
254443MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massderm Billing PC Dermatology CurrentSince Jul 1, 2020 Accepting new patients
Massachusetts Dermatology Associates, P.C. Dermatology CurrentSince Jul 21, 2016 Accepting new patients
Massachusetts General Physicians Organization Inc Dermatology Past Accepting new patients
Stenstrom Dermatology SC Dermatology Past Accepting new patients

Locations

900 Cummings Ctr
Ste 311T
Beverly, MA 01915
Phone (978) 225-3376

Interoperability endpoints

  • Direct secure messaging: derm@mda.emadirect.md
  • Direct secure messaging: garibyan.lilit.mda@direct.partners.masshiway.net

Organizations & group practices 4

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 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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1114153004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR STE 311T",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156260",
            "telephone_number": "978-225-3376",
            "fax_number": "978-560-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR STE 311T",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156260",
            "telephone_number": "978-225-3376",
            "fax_number": "978-560-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIBYAN",
        "first_name": "LILIT",
        "credential": "M.D, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "254443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "derm@mda.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Secure direct mail to MD at Massachusetts Dermatology Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 Cummings Ctr Ste 311T",
            "city": "Beverly",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019156260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.