Individual provider Active NPI

Lillian Niakan

  • Diagnostic Radiology Physician
  • Temple, TX
National Provider Identifier
1710477559
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
V1851 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-0001
Phone
(254) 724-4507
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10063729 TX
Diagnostic Radiology Physician 2085R0202X 1014585 MA
Diagnostic Radiology Physician 2085R0202X V1851 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-0001

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

75 Francis St
Boston, MA 02115-6106
Phone (617) 732-5500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lniakan72717@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230609001036 MA Practitioner - Diagnostic Radiology 8123352234 Reassigns benefits to 2 organizations
I20240828001512 TX Practitioner - Diagnostic Radiology 8123352234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

5702 E Central Texas Expy
Baylor Scott and White Clinic Killeen Harker
Killeen, TX 76543-5500
Phone (254) 680-7350

7700 Fish Pond Rd
Waco, TX 76710-1031
Phone (254) 761-4444

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV, LLP CurrentSince Nov 1, 2024 Accepting new patients
Scott & White Clinic Internal Medicine CurrentSince Aug 14, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2024 Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2024 Accepting new patients
Brigham & Womens Physicians Organization Inc Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Scott & White Clinic Internal Medicine CurrentSince Aug 14, 2024 Accepting new patients
Harbor Medical Associates, Inc. Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

254 2nd Ave
Lowr
Needham Heights, MA 02494
Phone (781) 416-8400

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

5251 W Highway 290
Austin, TX 78735
Phone (512) 654-3000

700 Medical Pkwy
Brenham, TX 77833
Phone (979) 337-5000

5330 Overpass Rd
Ste 110
Buda, TX 78610
Phone (737) 999-6200

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

900 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 684-4000

700 Scott and White Dr
College Station, TX 77845
Phone (979) 207-0100

1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

305 Mallard Ln
Taylor, TX 76574
Phone (512) 352-7611

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Organizations & group practices 11

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 6

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1710477559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-724-4507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156106",
            "country_code": "US",
            "telephone_number": "617-732-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIAKAN",
        "first_name": "LILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10063729",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "1014585",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "V1851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lniakan72717@direct.sw.org",
            "affiliation": "N",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.