Active NPI
Lillman Dwarka, MD
- Gastroenterology Physician
- Sterling Heights, MI
National Provider Identifier
1689664211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301034442
- Practice address
- 38300 Van Dyke
105
Sterling Heights, MI 48312 - Phone
- (586) 268-3600
- Fax
- (586) 268-3730
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4301034442 | MI | Primary |
Addresses
Primary practice location
38300 Van Dyke
105
Sterling Heights, MI 48312
Mailing address
38300 Van Dyke
105
Sterling Heights, MI 48312
Phone (586) 268-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1896270 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100122000270 | MI | Practitioner - Internal Medicine | 6002958444 | Practice locations: Sterling Heights, MI; Troy, MI; Warren, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 268-3600
38300 Van Dyke Ave
Suite 105
Sterling Heights, MI 48312-1176
Phone (586) 268-3600
Hospital & facility affiliations
- Beaumont Home Health
- Henry Ford Home Health Care
- Beaumont Hospital, Troy
- Henry Ford Health Warren Hospital
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Grosse Pointe
- Henry Ford Health St John Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.35 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 77.82
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 218 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 308 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ldwarka1125851@direct.hfhs.org
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- Home Health Agency
- Detroit, MI
- NPI 1932162096
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1689664211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38300 VAN DYKE",
"address_2": "105",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48312",
"telephone_number": "586-268-3600",
"fax_number": "586-268-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38300 VAN DYKE",
"address_2": "105",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48312",
"telephone_number": "586-268-3600",
"fax_number": "586-268-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWARKA",
"first_name": "LILLMAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301034442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1896270",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.