Individual provider Active NPI

Robert A Lillo, MD

  • Physical Medicine & Rehabilitation Physician
  • Muncie, IN
National Provider Identifier
1902812639
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
01038052A Issued in IN
Practice address
3600 W Bethel Ave
Muncie, IN 47304-5407
Phone
(765) 284-7738
Fax
(765) 213-3713
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 01038052A IN Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X H4837 TX
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 01038052A IN

Addresses

Primary practice location

3600 W Bethel Ave
Muncie, IN 47304-5407

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 284-7738

Other practice location 1

2610 Enterprise Dr
Anderson, IN 46013-9684
Phone (800) 622-6575

Other practice location 2

14300 E 138th Ste B
Fishers, IN 46037-0051
Phone (800) 622-6575

Other identifiers 3

IdentifierTypeStateIssuer
100341100MedicaidIN
200018973OtherINRAILROAD MEDICARE
000000087009OtherINANTHEM PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100121000152 IN Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 5890690770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Indiana University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Indiana Orthopedics LLCGroup PAC ID 5698667822, 148 clinicians

Practice addresses (Care Compare)

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 284-7738

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
64.48
Promoting interoperability
96
Improvement activities
40
Cost
78.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01038052AINMDPhysical Medicine & Rehabilitation Physician
H4837TXMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Indiana Orthopedics, LLC CurrentSince Sep 7, 1993 Accepting new patients
Central Indiana Orthopedics LLC Physical Medicine & Rehabilitation CurrentSince Sep 7, 1993 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2610 Enterprise Dr
Anderson, IN 46013
Phone (765) 608-3608

14300 E 138th
Ste B
Fishers, IN 46037
Phone (317) 773-4301

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

Interoperability endpoints

  • Direct secure messaging: robert.lillo.p4@direct.beaconortho.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1902812639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "765-284-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "765-284-7738",
            "fax_number": "765-213-3713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460139684",
            "country_code": "US",
            "telephone_number": "800-622-6575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14300 E 138th Ste B",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460370051",
            "country_code": "US",
            "telephone_number": "800-622-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLO",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01038052A",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "H4837",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IN",
            "license": "01038052A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100341100",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200018973",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000087009",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.