Lillian Lyle Israel, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

00004466 Issued in AL

Practice address

2409 Acton Road
Suite 171
Birmingham, AL 35243-2938

Phone

(205) 978-8245

Fax

(205) 978-8249

NPI assigned

Jul 15, 2006

Last updated

Jun 2, 2009By 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 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Acton Road Pediatrics, LLC

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1679692123
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1851317440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 ACTON RD",
            "address_2": "SUITE 171",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432940",
            "telephone_number": "205-978-8245",
            "fax_number": "205-978-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 ACTON ROAD",
            "address_2": "SUITE 171",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432938",
            "telephone_number": "205-978-8245",
            "fax_number": "205-978-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "LILLIAN",
        "middle_name": "LYLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "00004466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "12-20178",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "1466",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000079619",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4063407",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51079619",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA HEALTH",
            "identifier": "C79105",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danna Self Isley, PA-C
• Mohamed Saleh Ismail, MD, MSC
• Imani Isom
• Daniel James Israel, M.D.
• Emily Savhann Israel, MA, LPC, RPT, NCC
• Ivan James Hunter Iton, DPT
• Joy Ivaschenko, CRNP
• Christopher Winthrop Ives Jr., MD
• Stephanie Bevans Ives, MD
• Jean B Ivey, CRNP

• Pediatrics Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.