Lisa Tilluckdharry, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

14363 Issued in NH

Practice address

248 Pleasant St
Suite G100
Concord, NH 03301-2588

Phone

(603) 224-9661

Fax

(603) 228-7051

NPI assigned

Jul 3, 2007

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concord Hospital Hospital, Concord, NH, CCN 300001
• Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005

Merit-based Incentive Payment System (MIPS)

Final score

89 of 100Reported as apm

Quality

73.23

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Concord Hospital, Inc.

  • Emergency Medicine Physician
  • Concord, NH
  • NPI 1194778571
  Medicare reassignment Care Compare group NPD
• Concord Hospital, Inc.

  • Psychiatric Hospital Unit
  • Concord, NH
  • NPI 1124070966
  NPD
• Concord Hospital, Inc.

  • General Practice Physician
  • Concord, NH
  • NPI 1801840764
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Concord Hospital-Laconia

  • General Acute Care Hospital
  • Laconia, NH
  • NPI 1053495234
  Care Compare affiliation
• Concord Hospital-Laconia

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1053993741

  Hospital

  Care Compare affiliation
• Concord Hospital, Inc.

  • General Acute Care Hospital
  • Concord, NH
  • NPI 1215988530
  Care Compare affiliation

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1235336140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST",
            "address_2": "SUITE G100",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "603-224-9661",
            "fax_number": "603-228-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST",
            "address_2": "SUITE G100",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "603-224-9661",
            "fax_number": "603-228-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLUCKDHARRY",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NH",
            "license": "14363",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NH",
            "license": "14363",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "14363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016776",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30208990",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul K Thorington, EDD
• Kyle M Thorne, CRNA
• Kim M Thurlow, LCMHC,LADC,BCRPS
• Laurie Thurston
• Leanne McCall Tigert, DMIN
• Thomas Timmons, DDS
• Paula A. Ting-Downing, OD
• Nicole Burke Tingley, PA-C
• Sheli L Tinkelman, PA-C
• Tiny Talkers Speech Therapy LLC

• Pulmonary Disease Physician in Concord, NH
• Providers in Concord, NH by specialty
• Pulmonary Disease Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.
• 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.