Active NPI
Lilys Medical Group PLLC
- Family Medicine Physician
- Sterling Heights, MI
National Provider Identifier
1982444915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Troy, MI
- NPI 1215167812
-
- Family Medicine Physician
- Troy, MI
- NPI 1346250578
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.