Active NPI
Lilioza Maria Gzyl, MD
- Pediatrics Physician
- Fort Wayne, IN
National Provider Identifier
1184715567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01036326A
- Practice address
- 1415 Directors Row
Ste 11a
Fort Wayne, IN 46808 - Phone
- (260) 460-4959
- Fax
- (260) 471-3644
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01036326A | IN | Primary |
| Pediatric Cardiology Physician | 2080P0202X | 01036326A | IN |
Addresses
Primary practice location
1415 Directors Row
Ste 11a
Fort Wayne, IN 46808
Mailing address
3005 Spring Creek Dr
Fort Wayne, IN 46808
Phone (260) 483-2366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01036326A | IN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1184715567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 SPRING CREEK DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46808",
"telephone_number": "260-483-2366",
"fax_number": "260-471-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 DIRECTORS ROW",
"address_2": "STE 11A",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46808",
"telephone_number": "260-460-4959",
"fax_number": "260-471-3644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GZYL",
"first_name": "LILIOZA",
"middle_name": "MARIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01036326A",
"primary": true
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "IN",
"license": "01036326A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.