Lilly Moss Parllaku, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA056526 Issued in PA

Practice address

775 E Lancaster Ave Ste 200
Villanova, PA 19085-1529

Phone

(610) 525-7800

NPI assigned

Feb 12, 2013

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

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryn Mawr Dermatology PCGroup PAC ID 2668493735, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.83 of 100Reported as group

Quality

66.36

Improvement activities

40

Cost

90.95

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

Locations

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.

• Bryn Mawr Dermatology, P.C.

  • Dermatology Physician
  • Villanova, PA
  • NPI 1750448924
  Medicare reassignment Care Compare group
• Jefferson Acute Care Physicians, PC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1730571324
  Medicare reassignment
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  Medicare reassignment
• Jefferson Acute Care Physicians, PC

  • Urgent Care Clinic/Center
  • Flourtown, PA
  • NPI 1245892314
  NPD
• Jefferson Acute Care Physicians, PC

  • Urgent Care Clinic/Center
  • Bensalem, PA
  • NPI 1689136145
  NPD
• University of Penn-Medical Group

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1821486846
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1851630735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 E LANCASTER AVE STE 200",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851529",
            "telephone_number": "610-525-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E LANCASTER AVE STE 200",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851529",
            "telephone_number": "610-525-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce Street",
            "address_2": "Ground Floor Ravdin",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19146",
            "country_code": "US",
            "telephone_number": "215-662-6698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARLLAKU",
        "first_name": "LILLY",
        "middle_name": "MOSS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nowlan Movement and Wellness LLC
• Alexandra Brady Obando, DPT
• Orthopedic and Sports Physical Therapy Services, Inc.
• Mary Agnes Ostick, CRNP
• Viraj Ashish Parikh, PA-C
• James Monroe Pedigo, MD
• John Peters
• Amanda Petruskevicius, CRNP
• Terry Jay Peura, CRNP
• David Pezzeca, PSY.D.

• Medical Physician Assistant in Villanova, PA
• Providers in Villanova, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.

Verify at the official NPI Registry.