Individual provider Active NPI

Lillian Marie Decosimo, M.D.

  • Obstetrics & Gynecology Physician
  • Lauderdale by the Sea, FL
National Provider Identifier
1336119783
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME131219 Issued in FL
Practice address
5200 N Ocean Blvd Apt 706
Lauderdale by the Sea, FL 33308-3018
Phone
(703) 859-5225
Fax
(844) 898-2182
NPI assigned
Jan 26, 2006
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101053044 VA
Obstetrics & Gynecology Physician 207V00000X ME131219 FL Primary

Addresses

Primary practice location

5200 N Ocean Blvd Apt 706
Lauderdale by the Sea, FL 33308-3018

Mailing address

5200 N Ocean Blvd Apt 706
Lauderdale by the Sea, FL 33308-3018
Phone (703) 859-5225

Other identifiers 2

IdentifierTypeStateIssuer
6201547MedicaidVA
024734400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL, MD, ND, KY5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20150121002218 VA Practitioner - Obstetrics/Gynecology 0749241255 Reassigns benefits to 1 organization
I20180205000328 FL Practitioner - Obstetrics/Gynecology 0749241255 Reassigns benefits to 4 organizations
I20230907002071 MD Practitioner - Obstetrics/Gynecology 0749241255 Reassigns benefits to 1 organization
I20240913002166 ND Practitioner - Obstetrics/Gynecology 0749241255
I20251006003180 KY Practitioner - Obstetrics/Gynecology 0749241255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11217 Hwy 421 S
Tyner, KY 40486-8352

3416 Valley Brook Rd
Nashville, TN 37215-2021

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131219FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spring View Physician Practices, LLC CurrentSince Sep 19, 2025 Accepting new patients
Pediatrix Medical Group of Florida Inc Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
Union Hospital of Cecil County Obstetrics & Gynecology CurrentSince Aug 15, 2023 Accepting new patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Dec 11, 2023 Accepting new patients
Spring View Physician Practices, LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince May 8, 2019 Accepting new patients
Memorial Hospital Inc. Obstetrics & Gynecology CurrentSince Oct 1, 2025 Accepting new patients
Spring View Physician Practices LLC CurrentSince Sep 19, 2025 Accepting new patients
Union Hospital of Cecil County CurrentSince Aug 15, 2023 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Memorial Hospital, Inc. Specialist Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince May 8, 2019 Accepting new patients
OBGYN Comprehensive Care, P.a. Obstetrics & Gynecology CurrentSince Sep 19, 2020 Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Obstetrics & Gynecology Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
Spring View Hospital LLC Past Accepting new patients

Locations

3476 S University Dr
Davie, FL 33328
Phone (954) 475-4350

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

6701 Sunset Dr
Ste 109
South Miami, FL 33143
Phone (305) 763-8768

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

330 N Loretto Rd
Lebanon, KY 40033
Phone (270) 699-2229

420 N Loretto Rd
Ste 200
Lebanon, KY 40033
Phone (270) 321-4480

420 N Loretto Rd
Ste 600
Lebanon, KY 40033
Phone (270) 692-5139

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

207 North St
Ste A
Elkton, MD 21921

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: ldecosimo5771965@adventhealth.direct-ci.com

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1336119783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N OCEAN BLVD APT 706",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333083018",
            "telephone_number": "703-859-5225",
            "fax_number": "844-898-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N OCEAN BLVD APT 706",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333083018",
            "telephone_number": "703-859-5225",
            "fax_number": "844-898-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOSIMO",
        "first_name": "LILLIAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101053044",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME131219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6201547",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024734400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

Verify at the official NPI Registry.