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LILY ADELZADEH MD
NPI 1265852180
Dermatology in Pleasanton, CA

Active since April 17, 2014PECOS Enrolled
88.37/100
CMS Quality Rating
5575 W LAS POSITAS BLVD STE 230, PLEASANTON, CA 94588(925) 416-1122 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2024, Mar 9, 2020 (2 updates tracked since 2020).

About Lily Adelzadeh Md NPPES

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

LILY ADELZADEH MD (NPI 1265852180) is an individual dermatology provider in Pleasanton, California, licensed in California (A159038) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Geffen School Of Medicine (2014).

NPPES Registry Identity

NPI1265852180
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameLILY ADELZADEHCredential: MD
Location Address5575 W LAS POSITAS BLVD STE 230Pleasanton, CA 94588-5802
Mailing Address2351 Clay St, Suite 380San Francisco, CA 94115-1931 · (415) 600-3954
Phone(925) 416-1122
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2014
Enumeration DateApril 17, 2014
Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1265852180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A159038
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5575 W LAS POSITAS BLVD STE 230, Pleasanton, CA 94588
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12262 Camino Ramon Ste 200San Ramon, CA 94583-1353 · Phone (925) 328-0255
Location 248 Fenton StLivermore, CA 94550-4144 · Phone (925) 359-6255

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily Adelzadeh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648558007
PECOS Enrollment IDI20200506001218
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.

Medicare Billing Reassignment

Medicare enrollment records show Lily Adelzadeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
24 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
338 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
103 services72 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
93 services57 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
69 services45 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
48 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.25
Promoting Interoperability100
Improvement Activities40
Cost76

Other Providers at the Same Location NPPES 2

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

MISS OLIVIA YU-PING LAI M.D.
Dermatology
5575 W LAS POSITAS BLVD STE 230
PLEASANTON, CA 94588
Alameda County (925) 416-1122
DR. HA KIRSTEN DO MD, MA
Dermatology
5575 W LAS POSITAS BLVD STE 230
PLEASANTON, CA 94588
Alameda County (925) 416-1222

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 Lily Adelzadeh's NPI number?

The NPI number for Lily Adelzadeh is 1265852180. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Lily Adelzadeh located?

Lily Adelzadeh practices at 5575 W Las Positas Blvd Ste 230, Pleasanton, CA 94588. The listed phone number is (925) 416-1122.

What is Lily Adelzadeh's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Lily Adelzadeh enrolled in Medicare?

Yes. Lily Adelzadeh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lily Adelzadeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Adelzadeh reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lily Adelzadeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lily Adelzadeh was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.