Lily O Otolorin, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

53928 Issued in WI

Practice address

2337 Kew Gardens Dr
Woodbridge, VA 22191-6577

Phone

(646) 593-6787

NPI assigned

Mar 29, 2010

Last updated

Dec 6, 2016By 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 1

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Specialty

Hospice/Palliative Care

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
• Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

Merit-based Incentive Payment System (MIPS)

Final score

77.8 of 100Reported as group

Quality

100

Promoting interoperability

0

Improvement activities

40

Cost

87.36

Medicare enrollment (NPD)

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.

• Cornerstone Medical Services PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Woodbridge, VA
  • NPI 1124482773

  DC

  Medicare reassignment Authorized official
• Compassus Op of Virginia LLC

  dba Compassus Palliative Care Consultation Program - Reston

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Chantilly, VA
  • NPI 1689119877
  Medicare reassignment
• Compassus Op of Virginia LLC

  dba Compassus - Reston

  • Community Based Hospice Care Agency
  • Chantilly, VA
  • NPI 1215487483
  NPD (past)
• Apogee Medical Group Virginia, PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1861660540
  NPD (past)

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

• Inova Health Care Services

  dba Inova Alexandria Hospital

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1255684460
  Care Compare affiliation
• Potomac Hospital Corporation of Prince William

  dba Sentara Northern Virginia Medical Center

  • General Acute Care Hospital
  • Woodbridge, VA
  • NPI 1548366404
  Care Compare affiliation

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1922323435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4212",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221944212",
            "telephone_number": "646-593-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 KEW GARDENS DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916577",
            "telephone_number": "646-593-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTOLORIN",
        "first_name": "LILY",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "53928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE LIC",
            "identifier": "53928",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Osorio
• Osun Technologies LLC
• Our Community Solutions Inc.
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• Stephen Kent Overall
• Nana Adoma Owusu-Nyamekye, MD
• P.W. Pediatrics P.C.

• Hospitalist Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Hospitalist Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.