DR. KIRTHI KONDA LILLEY M.D.
NPI 1063733111
Internal Medicine - Gastroenterology in Detroit, MI

Q: What is Kirthi Lilley's NPI number?

The NPI number for Kirthi Lilley is 1063733111. It was assigned to this individual provider in the NPPES registry on June 11, 2010. The provider is also known as Dr. Kirthi Pavani Konda.

Q: What is Kirthi Lilley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Kirthi Lilley was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2010PECOS EnrolledAccepts Medicare Assignment

4646 JOHN R ST, 11M-GAS, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Oct 25, 2016, Dec 29, 2015 (3 updates tracked since 2015).

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About Dr. Kirthi Konda Lilley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIRTHI KONDA LILLEY M.D. (NPI 1063733111) is an individual gastroenterology provider in Detroit, Michigan, licensed in Michigan (4301103467) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1063733111

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameDR. KIRTHI KONDA LILLEYCredential: M.D.

Location Address4646 JOHN R ST, 11M-GASDetroit, MI 48201-1916

Mailing Address3990 John R StDetroit, MI 48201-2018

Phone(313) 576-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 11, 2010

Last NPPES UpdateOctober 2, 20253 updates tracked since enumeration

NPPES CertifiedOctober 2, 2025

✔ NPI 1063733111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in MI · 4301103467✔ Licensed in IN · 01097476A

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4646 JOHN R ST, Detroit, MI 48201

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Other Names 1

Former Name (1)Dr. Kirthi Pavani Konda

Secondary Practice Location 1

Location 111104 Parkview Circle Dr Ste 310Fort Wayne, IN 46845-1733 · Phone (260) 266-5230 · Fax (260) 458-5972

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kirthi Konda Lilley M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820390875

PECOS Enrollment IDI20190102000718, I20250930000485

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YURIJ CHERSTYLO

Student in an Organized Health Care Education/Training Program