LILLIAN WINIFRED DATTILO MD
NPI 1245972256
Student in an Organized Health Care Education/Training Program in Boston, MA
About Lillian Winifred Dattilo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILLIAN WINIFRED DATTILO MD (NPI 1245972256) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (293103) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lillian Winifred Dattilo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BOSTON, MA 02114
BOSTON, MA 02114
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lillian Dattilo's NPI number?
The NPI number for Lillian Dattilo is 1245972256. It was assigned to this individual provider in the NPPES registry on April 11, 2022.
Where is Lillian Dattilo located?
Lillian Dattilo practices at 243 Charles St, Boston, MA 02114. The listed phone number is (617) 573-3654.
What is Lillian Dattilo's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Lillian Dattilo enrolled in Medicare?
Yes. Lillian Dattilo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lillian Dattilo was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Lillian Winifred Dattilo, MD · NPI 1245972256
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 11, 2022.
## Identity
- **NPI:** 1245972256 (Entity type: Individual)
- **Enumerated:** April 11, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 293103 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 243 CHARLES ST, Boston, MA 02114-3096
- **Phone:** (617) 573-3654
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1245972256) · Data from the CMS NPPES public registry.