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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: August 09, 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 and is a graduate of Vanderbilt University School Of Medicine (2019).

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
Medical School CMSVanderbilt University School Of MedicineGraduated 2019
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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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 Johnson Juttukonda is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204348915
PECOS Enrollment IDI20250626001357
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.

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 4

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
DR. JEFFREY GARNET EDWARDS MD
Pediatrics
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.

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 13 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.