Individual provider Active NPI

Iyanna Atwell Liles, M.D.

  • Obstetrics & Gynecology Physician
  • Hartford, CT
National Provider Identifier
1588083554
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
60228 Issued in CT
Practice address
1000 Asylum Ave RM 1026
Hartford, CT 06105-1701
Phone
(860) 714-4440
Fax
(860) 714-8012
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 60228 CT Primary

Addresses

Primary practice location

1000 Asylum Ave RM 1026
Hartford, CT 06105-1701

Mailing address

1000 Asylum Ave RM 1026
Hartford, CT 06105-1701
Phone (860) 714-4440

Other names 1

  • Iyanna Camile Atwell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180809000146 CT Practitioner - Obstetrics/Gynecology 4385964428 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Emory University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

60 Washington Ave
201 Comprehensive Gynecology of CT
Hamden, CT 06518-3273
Phone (203) 230-2939

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60228CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Obstetrics & Gynecology CurrentSince Aug 20, 2018 Accepting new patients
Yale University CurrentSince Jan 10, 2026 Accepting new patients
Obhg Connecticut PC Obstetrics & Gynecology CurrentSince Jan 27, 2025 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Obstetrics & Gynecology CurrentSince Apr 1, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 20, 2018 Accepting new patients
Yale University CurrentSince Jan 10, 2026 Accepting new patients
Physicians for Women'S Health LLC Obstetrics & Gynecology CurrentSince Oct 1, 2021 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Apr 1, 2025 Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince Jan 1, 2023 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

60 Washington Ave
Ste 201
Hamden, CT 06518
Phone (203) 230-2939

1000 Asylum Ave
Rm 1026
Hartford, CT 06105
Phone (860) 714-4332

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

100 Grand St
Fl 1
New Britain, CT 06052
Phone (860) 224-5011

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

428 Hartford Tpke
Ste 201
Vernon, CT 06066
Phone (860) 871-7374

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

Interoperability endpoints

  • Direct secure messaging: iyanna.liles.1@10170.direct.athenahealth.com
  • Direct secure messaging: ililes2388782@direct.trinity-health.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1588083554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE RM 1026",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051701",
            "telephone_number": "860-714-4440",
            "fax_number": "860-714-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE RM 1026",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051701",
            "telephone_number": "860-714-4440",
            "fax_number": "860-714-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "IYANNA",
        "middle_name": "ATWELL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "60228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IYANNA",
            "last_name": "ATWELL",
            "middle_name": "CAMILE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.