LILLY KANISHKA MD
NPI 1477282341
Psychiatry & Neurology - Neurology in Salt Lake City, UT

Q: What is Lilly Kanishka's NPI number?

The NPI number for Lilly Kanishka is 1477282341. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Q: What is Lilly Kanishka's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Lilly Kanishka was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 07, 2022PECOS Enrolled

175 N MEDICAL DR RM 5675, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2025, Jun 7, 2022 (2 updates tracked since 2022).

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About Lilly Kanishka Md NPPES

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

LILLY KANISHKA MD (NPI 1477282341) is an individual neurology provider in Salt Lake City, Utah, licensed in Utah (14243531-1205) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477282341

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameLILLY KANISHKACredential: MD

Location Address175 N MEDICAL DR RM 5675Salt Lake City, UT 84112-1103

Mailing Address175 N Medical Dr Rm 5675Salt Lake City, UT 84112-1103 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Enumeration DateJune 7, 2022

Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1477282341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in UT · 14243531-1205

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

175 N MEDICAL DR RM 5675, Salt Lake City, UT 84112

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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)

Lilly Kanishka 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 84112 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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 6

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

JORDAN S. LANGFORD MD

Psychiatry & Neurology (Neurology)