Individual provider Active NPI

Lily Yee, M.D.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1790777894
Registry record updated Oct 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
193265 Issued in NY
Practice address
139-87 , 35TH Ave
Suite L1
Flushing, NY 11354-3551
Phone
(718) 358-7788
Fax
(347) 779-0236
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 193265 NY Primary

Addresses

Primary practice location

139-87 , 35TH Ave
Suite L1
Flushing, NY 11354-3551

Mailing address

139-87 , 35TH Ave
Suite L1
Flushing, NY 11354-3551
Phone (718) 358-7788

Other identifiers 1

IdentifierTypeStateIssuer
01443796MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070307000597 NY Practitioner - Internal Medicine 9830292101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Thomas Lyo Medical PCGroup PAC ID 3870558059, 3 clinicians

Practice addresses (Care Compare)

13987 35TH Ave
L1
Flushing, NY 11354-3551
Phone (718) 358-7788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193265NYMDInternal Medicine Physician

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: lily.yee@glacecentral.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445126400000",
    "number": "1790777894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139-87 , 35TH AVE",
            "address_2": "SUITE L1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543551",
            "telephone_number": "718-358-7788",
            "fax_number": "347-779-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139-87 , 35TH AVE",
            "address_2": "SUITE L1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543551",
            "telephone_number": "718-358-7788",
            "fax_number": "347-779-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "LILY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2015-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "193265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01443796",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.