NPIMap

Individual provider Active NPI

Michael Charles Lilly, MD

  • Surgery Physician
  • Lynchburg, VA
National Provider Identifier
1487653978
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101236058 Issued in VA
Practice address
1906 Thomson Dr
Lynchburg, VA 24501-1009
Phone
(434) 200-3933
Fax
(434) 200-3988
NPI assigned
Jul 18, 2005
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101236058 VA Primary

Addresses

Primary practice location

1906 Thomson Dr
Lynchburg, VA 24501-1009

Mailing address

102 Fairlea CT
Lynchburg, VA 24503-2163

Other identifiers 1

IdentifierTypeStateIssuer
1487653978MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040428000338 VA Practitioner - General Surgery 4385631787 Reassigns benefits to 1 organization
I20131211000526 FL Practitioner - General Surgery 4385631787 Reassigns benefits to 1 organization
Practice locations: Englewood, FL

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Virginia Commonwealth University, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

1906 Thomson Dr
Lynchburg, VA 24501-1009
Phone (434) 200-3933

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)28
Upper gastrointestinal (GI) endoscopy for acid reflux72
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101236058VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group. LLC CurrentSince Sep 1, 2022 Accepting new patients
Centra Medical Group, LLC CurrentSince Sep 1, 2022 Accepting new patients
Tampa Bay Surgical Group, LLP Surgery CurrentSince Jul 1, 2017 Accepting new patients
Tampa Bay Surgical Group LLP Surgery Past Accepting new patients
Center for Womens Health Past Accepting new patients

Locations

2061 Englewood Rd
Ste 2A
Englewood, FL 34223
Phone (941) 474-5759

900 Pine St
Ste 123
Englewood, FL 34223
Phone (941) 474-4061

2039 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 584-7666

606 S Boulevard
Tampa, FL 33606
Phone (813) 254-3016

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

1906 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-3933

1911 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-3901

1937 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-6484

Interoperability endpoints

  • Direct secure messaging: mlilly@dmclmf.gwaydirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1487653978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FAIRLEA CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011009",
            "telephone_number": "434-200-3933",
            "fax_number": "434-200-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101236058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487653978",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.