Individual provider Active NPI

Liliya Fayzullina Sabet, D.O.

  • Family Medicine Physician
  • Centralia, WA
National Provider Identifier
1215474135
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61655410 Issued in WA
Practice address
1010 S Scheuber Rd Ste 3&4
Centralia, WA 98531-8892
Phone
(360) 827-7966
Fax
(360) 827-7977
NPI assigned
Jan 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP61655410 WA Primary

Addresses

Primary practice location

1010 S Scheuber Rd Ste 3&4
Centralia, WA 98531-8892

Mailing address

1010 S Scheuber Rd Ste 3&4
Centralia, WA 98531-8892
Phone (360) 827-7966

Other names 1

  • Lilia Albertovna Fayzullina Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250811002098 WA Practitioner - Family Practice 2769980507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services WashingtonGroup PAC ID 6709782600, 480 clinicians

Practice addresses (Care Compare)

1010 S Scheuber Rd
Suite 3/4
Centralia, WA 98531-8892
Phone (360) 827-7966

Hospital & facility affiliations

  • Assured Home Health and Hospice Home health agency, Centralia, WA, CCN 507042
  • Providence at Home With Compassus, Puget Sound South Home health agency, Lacey, WA, CCN 507004
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP61655410WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jul 28, 2025 Accepting new patients
Providence Health & Services Washington Family Medicine CurrentSince Jul 28, 2025 Accepting new patients

Locations

1010 S Scheuber Rd
Ste 34
Centralia, WA 98531
Phone (360) 827-7966

1018 Capitol Way S
Ste 300
Olympia, WA 98501
Phone (360) 486-6508

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

Interoperability endpoints

  • Direct secure messaging: lsabet3971173@wm.providencedirect.org

Organizations & group practices 2

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 5

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": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1215474135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S SCHEUBER RD STE 3&4",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318892",
            "telephone_number": "360-827-7966",
            "fax_number": "360-827-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S SCHEUBER RD STE 3&4",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318892",
            "telephone_number": "360-827-7966",
            "fax_number": "360-827-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABET",
        "first_name": "LILIYA",
        "middle_name": "FAYZULLINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61655410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIA",
            "last_name": "FAYZULLINA",
            "middle_name": "ALBERTOVNA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.