Individual provider Active NPI

Lyudmila Kirillova, M.D.

  • Rheumatology Physician
  • Nashua, NH
National Provider Identifier
1861683468
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
T-0792 Issued in NH
Practice address
17 Prospect St
Nashua, NH 03060-3956
Phone
(603) 594-6300
Fax
(603) 594-6301
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X T-0792 NH Primary

Addresses

Primary practice location

17 Prospect St
Nashua, NH 03060-3956

Mailing address

PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20151203002774 NH Practitioner - Rheumatology 8426198318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

17 Prospect St
Suite N203
Nashua, NH 03060-3964
Phone (603) 577-2663

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-0792NHMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc Rheumatology CurrentSince Sep 23, 2015 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Sep 23, 2015 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

17 Prospect St
Ste N203
Nashua, NH 03060
Phone (603) 577-2663

17 Prospect St
Nashua, NH 03060
Phone (603) 577-2663

Interoperability endpoints

  • Direct secure messaging: lkirillova91927@direct.solutionhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1861683468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603956",
            "telephone_number": "603-594-6300",
            "fax_number": "603-594-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRILLOVA",
        "first_name": "LYUDMILA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NH",
            "license": "T-0792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.