Active NPI
Louis Dilillo, MD
- Obstetrics & Gynecology Physician
- Beverly, MA
National Provider Identifier
1508802927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 70452
- Practice address
- 83 Herrick Street
Suite 2004
Beverly, MA 01915 - Phone
- (978) 927-4800
- Fax
- (978) 232-5772
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 70452 | MA | Primary |
Addresses
Primary practice location
83 Herrick Street
Suite 2004
Beverly, MA 01915
Mailing address
83 Herrick Street
Suite 2004
Beverly, MA 01915
Phone (978) 927-4800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070452 | Other | TUFTS HEALTH INS | |
| 13759 | Other | HARVARD PILGREM | |
| 3079155 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70452 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Lahey Health Specialty Care, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Gloucester, MA
- NPI 1235147760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1508802927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 HERRICK STREET",
"address_2": "SUITE 2004",
"city": "BEVERLY",
"state": "MA",
"postal_code": "01915",
"telephone_number": "978-927-4800",
"fax_number": "978-232-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 HERRICK STREET",
"address_2": "SUITE 2004",
"city": "BEVERLY",
"state": "MA",
"postal_code": "01915",
"telephone_number": "978-927-4800",
"fax_number": "978-232-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILILLO",
"first_name": "LOUIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "70452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH INS",
"identifier": "070452",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGREM",
"identifier": "13759",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3079155",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.