Robert Harry Lilli, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H4016 Issued in TX

Practice address

6100 Harris Pkwy
Suite 340
Fort Worth, TX 76132-4133

Phone

(817) 433-5111

Fax

(817) 433-5119

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD (past)
• Texas Health Care, P.L.L.C.

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
  • NPI 1912063371
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1720031552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611205",
            "telephone_number": "817-740-8400",
            "fax_number": "817-433-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "SUITE 340",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324133",
            "telephone_number": "817-433-5111",
            "fax_number": "817-433-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLI",
        "first_name": "ROBERT",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103212003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "080194436",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Therapy Center of Fort Worth
• Cheree Shuntay Lightner, RN
• Paige Likes, DO
• Thomas Liles, NP
• Lilium Behavior Consultants
• Aubryn Lilly, RN
• James Landry Lilly
• Clarence Lim, MD
• Henry Lim, DO
• Jae Hyung Lim, MD

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.