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LILY SUZANNAH LINDSTROM MD
NPI 1619720125
Student in an Organized Health Care Education/Training Program in Oklahoma City, OK

Active since April 08, 2024PECOS Enrolled
1110 N LEE AVE # 300, OKLAHOMA CITY, OK 73103(405) 231-3000 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lily Suzannah Lindstrom Md NPPES

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

LILY SUZANNAH LINDSTROM MD (NPI 1619720125) is an individual student in an organized health care education/training program in Oklahoma City, Oklahoma and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2024).

NPPES Registry Identity

NPI1619720125
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLILY SUZANNAH LINDSTROMCredential: MD
Location Address1110 N LEE AVE # 300Oklahoma City, OK 73103-2612
Mailing Address1110 N Lee Ave # 300Oklahoma City, OK 73103-2612 · (405) 231-3000
Phone(405) 231-3000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2024
Enumeration DateApril 8, 2024
NPPES CertifiedApril 6, 2024
✔ NPI 1619720125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1110 N LEE AVE # 300, Oklahoma City, OK 73103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily Suzannah Lindstrom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769949551
PECOS Enrollment IDI20260812000594
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 Reassignment

Medicare enrollment records show Lily Lindstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Absentee Shawnee Tribal Health Authority, Inc.
25 mi
Multi-Specialty
15951 LITTLE AXE DR
Norman, OK 73026
  • Reassigned Medicare billing, Oklahoma enrollment
  • 86 clinicians in this Medicare group
NPI 1124152962 (405) 447-0300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MADILYN CLAIRE THOMAS MD
Student in an Organized Health Care Education/Training Program
1110 N LEE AVE # 300
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 231-3000
ALEXIA DEAN MD
Student in an Organized Health Care Education/Training Program
1110 N LEE AVE # 300
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 231-3000
BRANDON THOMAS HUBBARD
Student in an Organized Health Care Education/Training Program
1110 N LEE AVE # 300
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 231-3000
DR. JULIE VIRGINIA HODGDEN MD
Student in an Organized Health Care Education/Training Program
1110 N LEE AVE # 300
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 231-3000
RANA MUHAMMAD UMER NASRULLAH MD
Student in an Organized Health Care Education/Training Program
1110 N LEE AVE # 300
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 231-3000
SYDNEY MAUCK MD
Student in an Organized Health Care Education/Training Program
1110 N LEE AVE # 300
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 231-3000
CALEB HUNTER KALENS
Family Medicine
1110 N LEE AVE # 300
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 231-3000
GAVIN CREE KNAPP
Student in an Organized Health Care Education/Training Program
1110 N LEE AVE # 300
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 231-3000

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 Lindstrom's NPI number?

The NPI number for Lily Lindstrom is 1619720125. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Lily Lindstrom located?

Lily Lindstrom practices at 1110 N Lee Ave # 300, Oklahoma City, OK 73103. The listed phone number is (405) 231-3000.

What is Lily Lindstrom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lily Lindstrom enrolled in Medicare?

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

Which organization bills Medicare for Lily Lindstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Lindstrom reassigns Medicare benefits to Absentee Shawnee Tribal Health Authority, Inc. (Norman, OK). The 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 Lindstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lily Lindstrom was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.