Individual provider Active NPI

Lilia Lofranco Deborja, MD

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1972532885
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0016970 Issued in MD
Practice address
4200 Edmondson Avenue
Suite 204
Baltimore, MD 21229
Phone
(410) 624-0037
Fax
(410) 947-2794
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D16970 MD
Pediatrics Physician 208000000X D0016970 MD Primary

Addresses

Primary practice location

4200 Edmondson Avenue
Suite 204
Baltimore, MD 21229

Mailing address

4200 Edmondson Avenue
Suite 204
Baltimore, MD 21229
Phone (410) 624-0037

Other practice location 1

848 W 36th St
Baltimore, MD 21211-2544
Phone (410) 366-3666

Other identifiers 1

IdentifierTypeStateIssuer
006811001MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0016970MDMDPediatrics Physician
D16970MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lilia Deborja Pediatrics CurrentSince Sep 14, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4200 Edmondson Ave
Ste 204
Baltimore, MD 21229
Phone (410) 624-0037

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1972532885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 EDMONDSON AVENUE",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "410-624-0037",
            "fax_number": "410-947-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 EDMONDSON AVENUE",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "410-624-0037",
            "fax_number": "410-947-2794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "848 W 36th St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212112544",
            "country_code": "US",
            "telephone_number": "410-366-3666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBORJA",
        "first_name": "LILIA",
        "middle_name": "LOFRANCO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D16970",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0016970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006811001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.