LILLIAN LAI M.D.
NPI 1477866614
Radiology - Diagnostic Radiology in Iowa City, IA

Active since July 16, 2010PECOS EnrolledAccepts Medicare Assignment
200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-1616 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2022, Mar 31, 2017 (2 updates tracked since 2017).

About Lillian Lai M.d. NPPES

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

LILLIAN LAI M.D. (NPI 1477866614) is an individual diagnostic radiology provider in Iowa City, Iowa, licensed in Iowa (MD-48736) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of California, San Diego School Of Medicine (2010).

NPPES Registry Identity

NPI1477866614
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameLILLIAN LAICredential: M.D.
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-1616
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2010
Enumeration DateJuly 16, 2010
Last NPPES UpdateApril 24, 20252 updates tracked since enumeration
NPPES CertifiedApril 24, 2025
✔ NPI 1477866614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in IA · MD-48736✔ Licensed in CA · 1477866614
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
200 HAWKINS DR, Iowa City, IA 52242

Secondary Practice Locations 3

Location 1105 E 9th StCoralville, IA 52241-2209 · Phone (319) 467-2000 · Fax (319) 467-2410
Location 2500 E Market StIowa City, IA 52245-2633 · Phone (319) 339-3551 · Fax (319) 248-7945
Location 3701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 356-3375 · Fax (319) 356-3949

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

Lillian Lai M.d. 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 ID5799929790
PECOS Enrollment IDI20220104000653
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lillian Lai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dentist
200 HAWKINS DRIVE, 51300 POMERANTZ FAMILY PAVILION
Iowa City, IA 52242
  • Reassigned Medicare billing, Iowa enrollment
  • 2,190 clinicians in this Medicare group
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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 20

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

Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

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 Lai's NPI number?

The NPI number for Lillian Lai is 1477866614. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Lillian Lai located?

Lillian Lai practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-1616.

What is Lillian Lai's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Lillian Lai enrolled in Medicare?

Yes. Lillian Lai 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 Lillian Lai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lillian Lai reassigns Medicare benefits to 2 organizations: State University Of Iowa (Iowa City, IA) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). 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 Lillian Lai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lillian Lai accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Lillian Lai 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 Lillian Lai was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.