Organization Active NPI

Lilys Medical Group PLLC

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1982444915
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LILYS MEDICAL GROUP PLLC
Practice address
37300 Dequindre Rd Ste 102
Sterling Heights, MI 48310-3595
Phone
(616) 581-6116
NPI assigned
May 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Sandra Mitteer, CREDENTIALING
Title
Credentialing
Phone
(586) 838-4291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

37300 Dequindre Rd Ste 102
Sterling Heights, MI 48310-3595

Mailing address

37300 Dequindre Rd Ste 102
Sterling Heights, MI 48310-3595
Phone (586) 838-4291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240726000654 MI Part B Supplier - Clinic/Group Practice 8628514627 Receives reassigned benefits from 2 practitioners
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1982444915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD STE 102",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103595",
            "telephone_number": "586-838-4291",
            "fax_number": "586-883-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD STE 102",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103595",
            "telephone_number": "616-581-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILYS MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "MITTEER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "586-838-4291",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.