Lily Ann Koscielniak, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA17688 Issued in TX

Practice address

9305 Pinecroft Dr Ste 400
The Woodlands, TX 77380-3482

Phone

(713) 486-8800

NPI assigned

Feb 22, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
• Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Ut Physicians

  dba UT Health Services

  • Health Educator
  • Houston, TX
  • NPI 1316534472

  Multi-Specialty

  NPD

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

• Memorial Hermann Health System

  dba MHHS NW Radiation Therapy

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1013948553

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba MHHS Woodlands Outpatient Imaging System

  • Radiology Clinic/Center
  • The Woodlands, TX
  • NPI 1275564858

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Northeast

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787
  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Outpatient Imaging-Southwest

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1407959448

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba Mhhs Hermann Outpatient Imaging Center

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Houston, TX
  • NPI 1437189115

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba MHHS Friendswood Imaging

  • Radiology Clinic/Center
  • Friendswood, TX
  • NPI 1508896267

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba MHHS Pearland Outpatient Imaging Center

  • Radiology Clinic/Center
  • Pearland, TX
  • NPI 1669402335

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1730132234
  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1982666111
  Care Compare affiliation

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1265298764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 PINECROFT DR STE 400",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 PINECROFT DR STE 400",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803482",
            "telephone_number": "713-486-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCIELNIAK",
        "first_name": "LILY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA17688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Gail Koenig-Reed, M.A., LMFT
• Carlee M'Lynn Koenig, PTA, OMTS
• Virginia Rose Kolbuck, PTA
• Alix Nicole Kornegay, AUD
• Christopher David Kosarek, MD
• Ashley Kovar
• Thomas Michael Kozak, PH.D.
• Christina Lynn Kraatz, M.ED., NCC., LPC
• Brett Kramer, DO
• Kevin Kranson, LPC ASSOCIATE

• Surgical Physician Assistant in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.