Active NPI
Lilly KC, MD
- Family Medicine Physician
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101052436
- Practice address
- 7900 Sudley Rd Ste 900
Manassas, VA 20109-2867 - Phone
- (571) 472-8200
- Fax
- (571) 472-6721
- NPI assigned
- Sep 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101052436 | VA | Primary |
Addresses
Primary practice location
7900 Sudley Rd Ste 900
Manassas, VA 20109-2867
Mailing address
PO Box 37189
Baltimore, MD 21297-3189
Phone (571) 423-5699
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080175698 | Other | RR MEDICARE | |
| 05622867 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lkc708906@soc.inova.org | Health Information Exchange (HIE) | Inova Physician Partners, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Jefferson Medical College of Thomas Jefferson University, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
740 E Main St
Purcellville, VA 20132-3128
Phone (540) 338-7116
Hospital & facility affiliations
- Inova Fairfax Hospital
- Uva Health Prince William Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101052436 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Inova Physician Partners, LLC | Family Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients | |
| Privia Pediatric Medical Group of Georgia LLC | Past | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
950 N Glebe Rd
#4000
Arlington, VA 22203
20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003
8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253
7900 Sudley Rd
Ste 900
Manassas, VA 20109
Phone (571) 472-8200
8100 Ashton Ave
Manassas, VA 20109
Phone (703) 257-8090
8644 Sudley Rd
#220
Manassas, VA 20110
740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995
8100 Ashton Ave
Ste 101
Sudley Springs, VA 20109
Phone (703) 205-7330
Interoperability endpoints
- lkc708906@soc.inova.org
Organizations & group practices 6
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.
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- Family Medicine Physician
- Chantilly, VA
- NPI 1215264916
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
DC, Family Medicine
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Pediatrics Physician
- Fayetteville, GA
- NPI 1710385513
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1811981103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37189",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973189",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 SUDLEY RD STE 900",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201092867",
"telephone_number": "571-472-8200",
"fax_number": "571-472-6721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KC",
"first_name": "LILLY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-01",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101052436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080175698",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05622867",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lkc708906@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Physician Partners, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "8100 Ashton Ave",
"address_2": "Suite 101",
"city": "Manassas",
"state": "VA",
"country_code": "US",
"postal_code": "20109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.