Individual provider Active NPI

John Richard Lilly, MD

  • Family Medicine Physician
  • Hyattsville, MD
National Provider Identifier
1528051711
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D09357 Issued in MD
Practice address
5804 Baltimore Ave
Hyattsville, MD 20781-1623
Phone
(301) 927-7800
Fax
(301) 927-0375
NPI assigned
Aug 24, 2005
Last updated
Feb 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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 D09357 MD Primary

Addresses

Primary practice location

5804 Baltimore Ave
Hyattsville, MD 20781-1623

Mailing address

5804 Baltimore Ave
Hyattsville, MD 20781-1623
Phone (301) 927-7800

Other names 1

  • J Richard Lilly Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081016000084 DC Practitioner - Family Practice 0446257596 Reassigns benefits to 1 organization
I20110509000244 MD Practitioner - Family Practice 0446257596 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D09357MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J Richard Lilly MD Shaaron R Towns MD and Associates PC CurrentSince Jan 9, 1985 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

14300 Gallant Fox Ln
Ste 126
Bowie, MD 20715
Phone (301) 352-0506

5804 Baltimore Ave
Hyattsville, MD 20781
Phone (301) 927-7800

5806 Baltimore Ave
Hyattsville, MD 20781
Phone (301) 277-5868

Interoperability endpoints

  • Direct secure messaging: johnrichardlilly@jrlmd.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1528051711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 BALTIMORE AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811623",
            "telephone_number": "301-927-7800",
            "fax_number": "301-927-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 BALTIMORE AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811623",
            "telephone_number": "301-927-7800",
            "fax_number": "301-927-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D09357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "LILLY",
            "middle_name": "RICHARD",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.