Lily Enayati MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LILY ENAYATI MD INC

Practice address

1 Baywood Ave Ste 10
San Mateo, CA 94402-1537

Phone

(650) 342-2974

Fax

(650) 347-5404

NPI assigned

Nov 16, 2021

Organization subpart

No

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

Authorized official

Name

Michelle Pfeffer

Title

Practice Manager

Phone

(650) 342-2974

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lily N Enayati, MD

  • Internal Medicine Physician
  • San Mateo, CA
  • NPI 1447322847
  Medicare reassignment NPD

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1205592946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYWOOD AVE STE 10",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021537",
            "telephone_number": "650-342-2974",
            "fax_number": "650-347-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAYWOOD AVE STE 10",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021537",
            "telephone_number": "650-342-2974",
            "fax_number": "650-347-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY ENAYATI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "PFEFFER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "650-342-2974"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Alexis Liggins
• Latifunisa Lilani
• Anayah Lillard
• Hannah Lillibridge
• Beth Ann Lilly-Toshikian
• Gabriel Hui Hwang Lim, RD
• Grace Lim
• Nicholas Davy Lim, RD
• David Lin, PHD
• Ian Y.H. Lin, MD

• Internal Medicine Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.