Individual provider Active NPI

Lilly Michael, PA-C

  • Physician Assistant
  • Shenandoah, TX
National Provider Identifier
1457775645
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08941 Issued in TX
Practice address
9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883
Phone
(713) 897-5900
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08941 TX Primary

Addresses

Primary practice location

9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883

Mailing address

7521 Cedar Elm Dr
Irving, TX 75063-8421
Phone (214) 517-9771

Other practice location 1

7300 Eldorado Pkwy Ste 105
McKinney, TX 75070-1956
Phone (945) 200-6880

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141024000781 TX Practitioner - Physician Assistant 7911128533 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Legacy Heart Care of Grand Prairie, LLCGroup PAC ID 9638549884, 6 clinicians
Legacy Heartcare of Dallas, LLCGroup PAC ID 6305029653, 22 clinicians
Legacy Heart Care of North Dallas LLCGroup PAC ID 9931571544, 11 clinicians

Practice addresses (Care Compare)

4927 Lake Ridge Pkwy
Suite 145
Grand Prairie, TX 75052-3087
Phone (817) 423-4400

7300 Eldorado Pkwy
105 Flow Therapy McKinney
McKinney, TX 75070-7891
Phone (972) 490-9500

7515 Greenville Ave
Suite 1010
Dallas, TX 75231-3858
Phone (972) 838-7255

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heart Care of San Antonio CurrentSince Sep 1, 2025 Accepting new patients
Legacy Heart Care of Grand Prairie, LLC CurrentSince Sep 1, 2025 Accepting new patients
Legacy Heartcare of Dallas, LLC CurrentSince Sep 1, 2025 Accepting new patients
Legacy Heart Care of South Austin, LLC CurrentSince Sep 1, 2025 Accepting new patients
Legacy Heart Care of North Dallas, LLC CurrentSince Sep 1, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2024 Accepting new patients
Legacy Heart Care of Fort Worth, LLC CurrentSince Sep 1, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2024 Accepting new patients
Legacy Heart Care of San Antonio CurrentSince Sep 1, 2025 Accepting new patients
Legacy Heart Care of Midtown Austin, LLC CurrentSince Sep 1, 2025 Accepting new patients
Legacy Heartcare of Dallas, LLC CurrentSince Sep 1, 2025 Accepting new patients
Tangerinemed PLLC Physician Assistant Current Accepting new patients

Locations

7515 Greenville Ave
Ste 1010
Dallas, TX 75231
Phone (972) 838-7255

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

4927 Lake Ridge Pkwy
Ste 145
Grand Prairie, TX 75052
Phone (817) 423-4400

1180 Seton Pkwy
Ste 280
Kyle, TX 78640
Phone (817) 710-7644

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

7300 Eldorado Pkwy
Ste 105
McKinney, TX 75070
Phone (945) 200-6880

4716 Dexter Dr
Ste 200
Plano, TX 75093
Phone (817) 502-7027

7200 Wyoming Springs Dr
Ste 300
Round Rock, TX 78681
Phone (512) 419-1100

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

8401 Datapoint Dr
Ste 421
San Antonio, TX 78229
Phone (210) 558-1800

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: lmichael86409@direct.phhs.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1457775645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 CEDAR ELM DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750638421",
            "telephone_number": "214-517-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 500",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803883",
            "telephone_number": "713-897-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Eldorado Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750701956",
            "country_code": "US",
            "telephone_number": "945-200-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "LILLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.