Meneleo Trinidad Lilagan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00040572 Issued in WA

Practice address

901 S Auburn St
Kennewick, WA 99336-5662

Phone

(509) 586-5538

Fax

(509) 586-4129

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Kennewick Kidney Disease and Hypertension Clinic, PLLC

  • Nephrology Physician
  • Kennewick, WA
  • NPI 1154838548
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1598764979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365662",
            "telephone_number": "509-586-5538",
            "fax_number": "509-586-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365662",
            "telephone_number": "509-586-5538",
            "fax_number": "509-586-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILAGAN",
        "first_name": "MENELEO",
        "middle_name": "TRINIDAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00040572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1598764979",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1118686",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sailor Liefke
• Life Transformation Therapy PLLC
• Lifecare Solutions Inc
• Lifeline Home Health LLC
• Sheldon Liikala
• Jessica Lynn Lilly, MASSAGE THERAPIST
• Hai Xin Lin, PHARM.D.
• Lincare Inc.
• Denelle Lind, R.N.
• Amy D Lindholm, RD CD

• Family Medicine Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.