LILY PIKE MD
NPI 1467719088
Family Medicine - Addiction Medicine in Providence, RI

Active since April 20, 2012PECOS Enrolled
45 ROYAL LITTLE DR, PROVIDENCE, RI 02904(401) 808-6693(401) 654-5319 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lily Pike Md NPPES

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

LILY PIKE MD (NPI 1467719088) is an individual addiction medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD15934) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467719088
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameLILY PIKECredential: MD
Location Address45 ROYAL LITTLE DRProvidence, RI 02904-1882
Mailing Address1052 Park AveCranston, RI 02910-3225 · (401) 461-5056 · Fax (401) 942-3590
Fax(401) 654-5319
Sole ProprietorNo
Enumeration DateApril 20, 2012
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
NPI 1467719088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License Licensed in RI · MD15934
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD15934 (RI)
45 ROYAL LITTLE DR, Providence, RI 02904

Other Identifiers 1

Medicaid1467719088RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lily Pike Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Counselor (Addiction (Substance Use Disorder))
45 ROYAL LITTLE DR
PROVIDENCE, RI 02904
Counselor (Addiction (Substance Use Disorder))
45 ROYAL LITTLE DR
PROVIDENCE, RI 02904
Clinic/Center (Methadone)
45 ROYAL LITTLE DR
PROVIDENCE, RI 02904

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 Pike's NPI number?

The NPI number for Lily Pike is 1467719088. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Where is Lily Pike located?

Lily Pike practices at 45 Royal Little Dr, Providence, RI 02904. The listed phone number is (401) 808-6693.

What is Lily Pike's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Lily Pike enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lily Pike was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.