Organization Active NPI

Trillium Pathology, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Springfield, OH
National Provider Identifier
1720056294
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
TRILLIUM PATHOLOGY, INC.
Practice address
100 Medical Center Dr
Springfield, OH 45504-2687
Phone
(937) 523-5182
NPI assigned
Mar 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Lakshmy Parameswaran, MDNPI 1174591622
Title
Managing Partner
Phone
(937) 523-5463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

100 Medical Center Dr
Springfield, OH 45504-2687

Mailing address

1431 Claiborne CT
Xenia, OH 45385-7055
Phone (937) 523-5463

Other practice location 1

100 W Main St Fl 2
Springfield, OH 45502-1312
Phone (937) 521-3900

Other practice location 2

904 Scioto St
Urbana, OH 43078-2226
Phone (937) 390-7000

Other identifiers 1

IdentifierTypeStateIssuer
2553160MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050428000208 OH Part B Supplier - Clinic/Group Practice 8628017720 Receives reassigned benefits from 7 practitioners
Practice locations: Springfield, OH; Urbana, OH; Fairborn, OH

National Provider Directory

National Provider Directory

Locations

100 W Main St
Fl 2
Springfield, OH 45502
Phone (937) 521-3900

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1720056294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 CLAIBORNE CT",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453857055",
            "telephone_number": "937-523-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042687",
            "telephone_number": "937-523-5182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455021312",
            "country_code": "US",
            "telephone_number": "937-521-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "904 Scioto St",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "OH",
            "postal_code": "430782226",
            "country_code": "US",
            "telephone_number": "937-390-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRILLIUM PATHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "PARAMESWARAN",
        "authorized_official_first_name": "LAKSHMY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "937-523-5463",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2553160",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.