Individual provider Active NPI

Alissa C Lilla, PA

  • Physician Assistant
  • West Des Moines, IA
National Provider Identifier
1568553584
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1157 Issued in NE
Practice address
6600 Westown Pkwy
Suite 220
West Des Moines, IA 50266-7707
Phone
(515) 241-2250
Fax
(515) 241-2265
NPI assigned
Sep 27, 2006
Last updated
Jan 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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 1157 NE Primary

Addresses

Primary practice location

6600 Westown Pkwy
Suite 220
West Des Moines, IA 50266-7707

Mailing address

8101 Birchwood CT
Suite S
Johnston, IA 50131-2930
Phone (515) 471-9720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20090305000120 IA Practitioner - Physician Assistant 7416999057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 SE Destination Dr
Family Med Grimes
Grimes, IA 50111-6608
Phone (515) 986-4524

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

6600 Westown Pkwy
Suite 220
West Des Moines, IA 50266-7710
Phone (515) 241-2250

801 Colonial Cir
Norwalk, IA 50211-9626
Phone (515) 285-3200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1157NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 1, 2012 Accepting new patients
Central Iowa Hospital Corporation Past Accepting new patients
Creighton University Past Accepting new patients
The Iowa Clinic PC PastSince Oct 1, 1995 Accepting new patients
Rural Iowa Specialty Physicians Consortium Inc Past Accepting new patients
Boone County Hospital Past Accepting new patients
Trinity Medical Center Physician Assistant Past Accepting new patients
Winnebago Indian Health Service Past Accepting new patients
The Iowa Clinic, PC Past Accepting new patients

Locations

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

6600 Westown Pkwy
Ste 220
West Des Moines, IA 50266
Phone (515) 241-2250

Interoperability endpoints

  • Direct secure messaging: alilla15503@direct.unitypoint.org

Organizations & group practices 10

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1568553584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BIRCHWOOD CT",
            "address_2": "SUITE S",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312930",
            "telephone_number": "515-471-9720",
            "fax_number": "515-471-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 WESTOWN PKWY",
            "address_2": "SUITE 220",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667707",
            "telephone_number": "515-241-2250",
            "fax_number": "515-241-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLA",
        "first_name": "ALISSA",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.