Active NPI
Lillian Overman, MD
- Internal Medicine Physician
- East Hartford, CT
National Provider Identifier
1225085533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 035443
- Practice address
- 144 Main St
East Hartford, CT 06118 - Phone
- (860) 918-0069
- NPI assigned
- May 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 035443 | CT | Primary |
Addresses
Primary practice location
144 Main St
East Hartford, CT 06118
Mailing address
144 Main St
East Hartford, CT 06118
Phone (860) 918-0069
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010035443CT01 | Other | CT | BCBS PROVIDER |
| 1354430 | Medicaid | CT | |
| 0S0272 | Other | CT | HEALTNET PROVIDER NUMBER |
| 035443 | Other | CT | CONNECTICARE PROVIDER |
| P1119365 | Other | CT | OXFORD PROVIDER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035443 | CT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1225085533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 MAIN ST",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "06118",
"telephone_number": "860-918-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 MAIN ST",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "06118",
"telephone_number": "860-918-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERMAN",
"first_name": "LILLIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "035443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER",
"identifier": "010035443CT01",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1354430",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTNET PROVIDER NUMBER",
"identifier": "0S0272",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE PROVIDER",
"identifier": "035443",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER",
"identifier": "P1119365",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.