Individual provider Active NPI

Joseph L Lillo, DO, FNLA, FAPCR

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1396765293
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1717 Issued in AZ
Practice address
3501 N Scottsdale Rd Ste 346
Scottsdale, AZ 85251-5632
Phone
(480) 945-3873
Fax
(480) 945-5992
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 1717 AZ Primary

Addresses

Primary practice location

3501 N Scottsdale Rd Ste 346
Scottsdale, AZ 85251-5632

Mailing address

3501 N Scottsdale Rd Ste 346
Scottsdale, AZ 85251-5632
Phone (480) 945-3873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100917000673 AZ Practitioner - Family Practice 0749305407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Wellness ResourcesGroup PAC ID 6002296506, 37 clinicians

Practice addresses (Care Compare)

3501 N Scottsdale Rd
Suite 231
Scottsdale, AZ 85251-5649
Phone (855) 893-5637

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph L Lillo, DO, PC CurrentSince Sep 1, 2019 Accepting new patients
Access Wellness Resources Family Medicine CurrentSince Oct 15, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3501 N Scottsdale Rd
Ste 346
Scottsdale, AZ 85251
Phone (480) 945-3873

3501 N Scottsdale Rd
Ste 231
Scottsdale, AZ 85251
Phone (480) 945-3873

Interoperability endpoints

  • Direct secure messaging: joseph.lillo.2@27041.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1396765293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD STE 346",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515632",
            "telephone_number": "480-945-3873",
            "fax_number": "480-945-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD STE 346",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515632",
            "telephone_number": "480-945-3873",
            "fax_number": "480-945-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLO",
        "first_name": "JOSEPH",
        "middle_name": "L",
        "credential": "DO, FNLA, FAPCR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-03-23",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.