DR. LILLY M GONZALEZ M.D.
NPI 1558604058
Internal Medicine - Gastroenterology in Plantation, FL

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
140 SW 84TH AVE STE C, PLANTATION, FL 33324(954) 476-9350(954) 476-2446 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 1, 2023, Jul 29, 2020, Apr 22, 2020 (3 updates tracked since 2020).

About Dr. Lilly M Gonzalez M.d. NPPES

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

DR. LILLY M GONZALEZ M.D. (NPI 1558604058) is an individual gastroenterology provider in Plantation, Florida, licensed in Florida (ME141424) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1558604058
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. LILLY M GONZALEZCredential: M.D.
Location Address140 SW 84TH AVE STE CPlantation, FL 33324-2736
Mailing Address9500 S Dadeland Blvd Ste 200Miami, FL 33156-2866 · (786) 530-3820 · Fax (305) 675-3378
Fax(954) 476-2446
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateSeptember 1, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1558604058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME141424
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
140 SW 84TH AVE STE C, Plantation, FL 33324

Other Names 1

Former Name (1)Dr. Lilly M Sadri Md

Secondary Practice Locations 2

Location 14300 Alton RdMiami Beach, FL 33140-2948 · Phone (305) 674-2273
Location 22845 NE 199th St Ste 250Aventura, FL 33180-3120 · Phone (305) 692-1080

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

Dr. Lilly M Gonzalez 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 ID9133462658
PECOS Enrollment IDI20200428000728
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 Lilly Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology
12251 TAFT ST STE 401
Pembroke Pines, FL 33026
  • Reassigned Medicare billing, Florida enrollment
  • 325 clinicians in this Medicare group
Neurological Surgery
4302 ALTON RD, SUITE 830
Miami Beach, FL 33140
  • Reassigned Medicare billing, Florida enrollment
  • 240 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.

Areas of Expertise CMS Part B claims 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
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.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33324 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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 (Gastroenterology)
140 SW 84TH AVE STE C
PLANTATION, FL 33324

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 Lilly Gonzalez's NPI number?

The NPI number for Lilly Gonzalez is 1558604058. It was assigned to this individual provider in the NPPES registry on April 3, 2013. The provider is also known as Dr. Lilly M Sadri MD.

Where is Lilly Gonzalez located?

Lilly Gonzalez practices at 140 SW 84th Ave Ste C, Plantation, FL 33324. The listed phone number is (954) 476-9350.

What is Lilly Gonzalez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Lilly Gonzalez enrolled in Medicare?

Yes. Lilly Gonzalez 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 Lilly Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lilly Gonzalez reassigns Medicare benefits to 2 organizations: Gastro Health, LLC (Pembroke Pines, FL) and Physician Practices Of Msmc, LLC (Miami Beach, FL). 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 Lilly Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lilly Gonzalez accept?

Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed and 5 other insurers list Lilly Gonzalez 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 Lilly Gonzalez was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.