Active NPI
Alyssa Lillo Le, M.D.
- Pediatrics Physician
- Centennial, CO
National Provider Identifier
1396988465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR.0057347
- Practice address
- 5657 S Himalaya St
Ste 100
Centennial, CO 80015-5307 - Phone
- (303) 699-6200
- Fax
- (720) 974-7175
- NPI assigned
- Apr 19, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DR.0057347 | CO | Primary |
Addresses
Primary practice location
5657 S Himalaya St
Ste 100
Centennial, CO 80015-5307
Mailing address
10541 Wintersweet CT
Parker, CO 80134-2500
Phone (860) 604-8456
Other names 1
- Dr. Alyssa Jennifer Lillo
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0057347 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Pediatric Associates, LLP | Pediatrics | Past | Accepting new patients |
| Aurora Pediatric Associates, LLP | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Advanced Pediatric Associates, LLP
- Pediatrics Physician
- Centennial, CO
- NPI 1760468722
-
dba Advanced Pediatric Associates
- Pediatrics Physician
- Centennial, CO
- NPI 1790383883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1396988465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10541 WINTERSWEET CT",
"city": "PARKER",
"state": "CO",
"postal_code": "801342500",
"telephone_number": "860-604-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5657 S HIMALAYA ST",
"address_2": "STE 100",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800155307",
"telephone_number": "303-699-6200",
"fax_number": "720-974-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "ALYSSA",
"middle_name": "LILLO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-19",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0057347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "LILLO",
"middle_name": "JENNIFER",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.