Liliya V. Bilan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10004046 Issued in WA

Practice address

22000 Marine View Dr S
Suite 100
Des Moines, WA 98198-6233

Phone

(206) 870-4460

Fax

(206) 870-4770

NPI assigned

May 18, 2006

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Highline Medical Group Inc

  • Family Medicine Physician
  • Burien, WA
  • NPI 1982652400

  Medical

  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1730132713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22000 MARINE VIEW DR S STE 100",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986233",
            "telephone_number": "206-870-4460",
            "fax_number": "253-351-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22000 MARINE VIEW DR S",
            "address_2": "SUITE 100",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986233",
            "telephone_number": "206-870-4460",
            "fax_number": "206-870-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILAN",
        "first_name": "LILIYA",
        "middle_name": "V.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004046",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004046",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0310531",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037638",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbilan61818@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "22000 Marine View Dr S",
            "address_2": "Suite 100",
            "city": "Des Moines",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981986233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian Adam Benavides
• Benepro P.C. (Marina Medical)
• Catherine Bereznay, ND, MPH, MS
• Ma Kimberley Bernales, DDS
• Big Change Medical (Big Change Consulting)
• Brandilyn Jo Binstock, ND
• Adenike Elizabeth Binuyo-Hawkins, RN
• Annika Blackmer
• Bodle Chiropractic, Inc (Bodle Chiropractic)
• Bodle Chiropractic, Inc

• Physician Assistant in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.