Individual provider Active NPI

Madeline A Lillie, MD

  • Allergy Physician
  • Amherst, NY
National Provider Identifier
1962482711
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
145777 Issued in NY
Practice address
500 Corporate Pkwy
Suite 100
Amherst, NY 14226-1263
Phone
(716) 631-0380
Fax
(716) 631-3229
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 145777 NY Primary

Addresses

Primary practice location

500 Corporate Pkwy
Suite 100
Amherst, NY 14226-1263

Mailing address

500 Corporate Pkwy
Suite 100
Amherst, NY 14226-1263
Phone (716) 631-0380

Other identifiers 1

IdentifierTypeStateIssuer
00614475MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110204000835 NY Practitioner - Allergy/Immunology 3072652007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Wayne State University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Jeanne Lomas Allergy Medicine PLLCGroup PAC ID 0042745317, 7 clinicians

Practice addresses (Care Compare)

500 Corporate Pkwy
Suite 100
Amherst, NY 14226-1263
Phone (716) 631-0380

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jeanne Lomas Allergy Medicine PLLC Allergy CurrentSince Feb 2, 2025 Accepting new patients

Locations

500 Corporate Pkwy
Ste 100
Buffalo, NY 14226
Phone (716) 631-0380

Interoperability endpoints

  • Direct secure messaging: dr.madelinelillie@baaa.medentdirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1962482711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CORPORATE PKWY",
            "address_2": "SUITE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261263",
            "telephone_number": "716-631-0380",
            "fax_number": "716-631-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CORPORATE PKWY",
            "address_2": "SUITE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261263",
            "telephone_number": "716-631-0380",
            "fax_number": "716-631-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLIE",
        "first_name": "MADELINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "145777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00614475",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.