LILY N ENAYATI MD
NPI 1447322847
Internal Medicine in San Mateo, CA

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
82.31/100
CMS Quality Rating
1 BAYWOOD AVE STE 10, SAN MATEO, CA 94402(650) 342-2974(650) 347-5404 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lily N Enayati Md NPPES

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

LILY N ENAYATI MD (NPI 1447322847) is an individual internal medicine provider in San Mateo, California, licensed in California (G078301) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1447322847
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLILY N ENAYATICredential: MD
Location Address1 BAYWOOD AVE STE 10San Mateo, CA 94402-1537
Mailing Address1 Baywood Ave Ste 10San Mateo, CA 94402-1537 · (650) 342-2974 · Fax (650) 347-5404
Fax(650) 347-5404
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 14, 2006
Last NPPES UpdateNovember 16, 2021
NPPES CertifiedNovember 16, 2021
NPI 1447322847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G078301
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 BAYWOOD AVE STE 10, San Mateo, CA 94402

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

Lily N Enayati Md 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 ID8729028386
PECOS Enrollment IDI20050503001377
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.

Areas of Expertise CMS Part B claims 25

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.

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.
563 services255 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
446 services303 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
253 services253 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
232 services232 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
231 services231 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.
92 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94402 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

82.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost41.04

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
77%26 patients4/55-star benchmark: 100%
Breast Cancer Screening
89%324 patients4/55-star benchmark: 93%
Cervical Cancer Screening
74%191 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
15%447 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
82%689 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
74%454 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
59%128 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%128 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
37%2,941 patients1/55-star benchmark: 100%
e-Prescribing
100%4,799 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%752 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
47%1,209 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
8%965 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%1,316 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 1,050 patients
Patients screened: 97% · 1,050 patients
62%52 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%1,268 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 11% · 770 patients
Patients totalRate: 16% · 770 patients
14%770 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Internal Medicine
1 BAYWOOD AVE STE 10
SAN MATEO, CA 94402

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 Enayati's NPI number?

The NPI number for Lily Enayati is 1447322847. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Lily Enayati located?

Lily Enayati practices at 1 Baywood Ave Ste 10, San Mateo, CA 94402. The listed phone number is (650) 342-2974.

What is Lily Enayati's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lily Enayati enrolled in Medicare?

Yes. Lily Enayati is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lily Enayati was last updated on November 16, 2021. 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.