LILY DOLATSHAHI MD
NPI 1477743607
Pediatrics - Pediatric Hematology-Oncology in Saint Louis, MO
About Lily Dolatshahi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILY DOLATSHAHI MD (NPI 1477743607) is an individual pediatric hematology-oncology provider in Saint Louis, Missouri, licensed in Missouri (2009024719) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lily Dolatshahi 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lily Dolatshahi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 clinicians in this Medicare group
Saint Louis, MO 63139
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
- 76 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
ST.LOUIS, MO 63104
SAINT LOUIS, MO 63104
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 Dolatshahi's NPI number?
The NPI number for Lily Dolatshahi is 1477743607. It was assigned to this individual provider in the NPPES registry on July 25, 2007. The provider is also known as Lily Dolatshahi MD.
Where is Lily Dolatshahi located?
Lily Dolatshahi practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 268-4000.
What is Lily Dolatshahi's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.
Is Lily Dolatshahi enrolled in Medicare?
Yes. Lily Dolatshahi 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.
Which organizations bill Medicare for Lily Dolatshahi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lily Dolatshahi reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). Each 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 Lily Dolatshahi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lily Dolatshahi accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Lily Dolatshahi 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 Lily Dolatshahi was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lily Dolatshahi, MD · NPI 1477743607
Pediatric Hematology-Oncology physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 25, 2007.
## Identity
- **NPI:** 1477743607 (Entity type: Individual)
- **Enumerated:** July 25, 2007
- **Primary specialty:** Pediatrics - Pediatric Hematology-Oncology · taxonomy 2080P0207X
- **State license:** 2009024719 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1465 S GRAND BLVD, Saint Louis, MO 63104-1003
- **Phone:** (314) 268-4000 · **Fax:** (314) 268-4081
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care Group (NPI 1306589544, Saint Louis, MO); Ssm Cardinal Glennon Childrens Hospital (NPI 1073568226, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** January 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1477743607) · Data from the CMS NPPES public registry.