Individual provider Active NPI

Lilly M Gonzalez, M.D.

  • Gastroenterology Physician
  • Plantation, FL
National Provider Identifier
1558604058
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME141424 Issued in FL
Practice address
140 SW 84TH Ave Ste C
Plantation, FL 33324-2736
Phone
(954) 476-9350
Fax
(954) 476-2446
NPI assigned
Apr 3, 2013
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME141424 FL Primary

Addresses

Primary practice location

140 SW 84TH Ave Ste C
Plantation, FL 33324-2736

Mailing address

9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (786) 530-3820

Other practice location 1

4300 Alton Rd
Miami Beach, FL 33140-2948
Phone (305) 674-2273

Other practice location 2

2845 NE 199th St Ste 250
Aventura, FL 33180-3120
Phone (305) 692-1080

Other names 1

  • Dr. Lilly M Sadri Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200428000728 FL Practitioner - Gastroenterology 9133462658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

140 SW 84TH Ave
Suite C
Plantation, FL 33324-2736
Phone (954) 476-9350

320 S State Rd
7 Suite 100
Plantation, FL 33317-3717
Phone (954) 476-9350

4675 Linton Blvd
Delray Beach, FL 33445-6615

4700 Sheridan St
Hollywood, FL 33021-3416

6517 Taft St
Suite 101
Hollywood, FL 33024-4063
Phone (954) 476-9350

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practices of MSMC, LLC Gastroenterology CurrentSince May 1, 2020 Accepting new patients
Gastro Health, LLC Gastroenterology CurrentSince Sep 5, 2023 Accepting new patients
Gastro Health LLC Gastroenterology Current Accepting new patients
Mount Sinai Medical Center Gastroenterology CurrentSince May 1, 2020 Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

2845 NE 199th St
Ste 250
Miami, FL 33180
Phone (305) 692-1080

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

4300 Alton Rd
Ste 2522
Miami Beach, FL 33140
Phone (305) 674-2071

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

140 SW 84th Ave
Ste C
Plantation, FL 33324
Phone (954) 476-9350

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
  • Direct secure messaging: lilly.gonzalez@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 4

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1558604058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "786-530-3820",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SW 84TH AVE STE C",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242736",
            "telephone_number": "954-476-9350",
            "fax_number": "954-476-2446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Alton Rd",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402948",
            "country_code": "US",
            "telephone_number": "305-674-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2845 NE 199th St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331803120",
            "country_code": "US",
            "telephone_number": "305-692-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LILLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME141424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLY",
            "last_name": "SADRI",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.