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LILLIAN JOHNSON JUTTUKONDA
NPI 1316406556
Pediatrics in Boston, MA

Active since March 18, 2019PECOS Enrolled
840 HARRISON AVE FL 4, BOSTON, MA 02118(617) 414-4511 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2025, Mar 18, 2019 (2 updates tracked since 2019).

About Lillian Johnson Juttukonda NPPES

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

LILLIAN JOHNSON JUTTUKONDA (NPI 1316406556) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (291558) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316406556
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLILLIAN JOHNSON JUTTUKONDA
Location Address840 HARRISON AVE FL 4Boston, MA 02118-2905
Mailing Address960 Massachusetts Ave Ste 2Boston, MA 02118-2690 · (617) 414-5405
Phone(617) 414-4511
Sole ProprietorNo
Enumeration DateMarch 18, 2019
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1316406556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 291558
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
840 HARRISON AVE FL 4, Boston, MA 02118
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lillian Johnson Juttukonda is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Lillian Juttukonda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Child Health Foundation Of Boston, Inc.
0.1 mi
Pediatrics
1 BOSTON MEDICAL CTR PL, DIVISION OF PEDIATRICS, DOWLING 3 SOUTH
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 195 clinicians in this Medicare group
NPI 1619969920 (617) 414-4830

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 3

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

KATHERINE JULIA BICK MD
Pediatrics
840 HARRISON AVE FL 4
BOSTON, MA 02118
Suffolk County (617) 414-4511
PRISCILLA GONZALEZ MD
Pediatrics
840 HARRISON AVE FL 4
BOSTON, MA 02118
Suffolk County (617) 414-4511
DR. MARK RICHARD CASTERA MD
Pediatrics (Neonatal-Perinatal Medicine)
840 HARRISON AVE FL 4
BOSTON, MA 02118
Suffolk County (617) 414-4511

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 Juttukonda's NPI number?

The NPI number for Lillian Juttukonda is 1316406556. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Lillian Juttukonda located?

Lillian Juttukonda practices at 840 Harrison Ave Fl 4, Boston, MA 02118. The listed phone number is (617) 414-4511.

What is Lillian Juttukonda's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lillian Juttukonda enrolled in Medicare?

Yes. Lillian Juttukonda is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lillian Juttukonda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lillian Juttukonda reassigns Medicare benefits to Child Health Foundation Of Boston, Inc. (Boston, MA). 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 Lillian Juttukonda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lillian Juttukonda accept?

Health plans from WellSense Health Plan list Lillian Juttukonda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lillian Juttukonda was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.