Individual provider Active NPI

Katharina F Lilly, MD

  • Family Medicine Physician
  • Portsmouth, NH
National Provider Identifier
1891992772
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13594 Issued in NH
Practice address
25 New Hampshire Ave
Suite 100
Portsmouth, NH 03801-2841
Phone
(603) 431-2516
Fax
(603) 431-9945
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13594 NH Primary

Addresses

Primary practice location

25 New Hampshire Ave
Suite 100
Portsmouth, NH 03801-2841

Mailing address

25 New Hampshire Ave
Suite 100
Portsmouth, NH 03801-2841
Phone (603) 431-2516

Other identifiers 1

IdentifierTypeStateIssuer
3088636MedicaidNH

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
I20071204000122 NH Practitioner - Family Practice 6305935016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

25 NH Ave
Suite 100
Portsmouth, NH 03801-2841
Phone (603) 431-2516

Hospital & facility affiliations

  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • York Hospital Hospital, York, ME, CCN 200020
  • Exeter Hospital Inc Hospital, Exeter, NH, CCN 300023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Appledore Medical Group, Inc. Family Medicine CurrentSince Aug 18, 2024 Accepting new patients

Locations

330 Borthwick Ave
Ste 107
Portsmouth, NH 03801
Phone (603) 433-8434

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

25 New Hampshire Ave
Ste 100
Portsmouth, NH 03801
Phone (603) 431-2516

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: katharina.lilly@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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 5

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1891992772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 100",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012841",
            "telephone_number": "603-431-2516",
            "fax_number": "603-431-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 100",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012841",
            "telephone_number": "603-431-2516",
            "fax_number": "603-431-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "KATHARINA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "13594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088636",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.