Kenneth William Lilik, M.D.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

MD026664E Issued in PA

Practice address

311 Mulberry St
Scranton, PA 18503-1230

Phone

(570) 961-3933

Fax

(570) 342-4318

NPI assigned

Nov 11, 2005

Last updated

Aug 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Neurologic Subspecialties Inc

  dba Kenneth W. Lilik, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Scranton, PA
  • NPI 1215924261
  NPD Authorized official

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1205817699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W OLIVE ST",
            "address_2": "SUITE 201",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082572",
            "telephone_number": "570-961-9947",
            "fax_number": "570-341-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031230",
            "telephone_number": "570-961-3933",
            "fax_number": "570-342-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILIK",
        "first_name": "KENNETH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD026664E",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PA",
            "license": "MD026664E",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PA",
            "license": "MD026664E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001034077001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jia Jian Li, MD
• Talha Liaqat, MBBS
• Joseph J Lick
• Lifecare Medical Equipment Suppliers LLC
• Denise Patricia Lightell, L.P.C., C.A.C.D.
• Prasanthi Limgala, M.D
• Jeffrey Lin, DDS MD
• Mia Geneva Lin, CRNP
• Deborah Linder, RN, BSN
• Kenisha Linton

• Neurology with Special Qualifications in Child Neurology Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.