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DR. LILY KATHLEEN WOLF MD
NPI 1669054086
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 26, 2021PECOS Enrolled
635 BARNHILL DRIVE, VAN NUYS MEDICAL SCIENCE BUILDING 116, INDIANAPOLIS, IN 46202(317) 274-8282 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lily Kathleen Wolf Md NPPES

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

DR. LILY KATHLEEN WOLF MD (NPI 1669054086) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669054086
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. LILY KATHLEEN WOLFCredential: MD
Location Address635 BARNHILL DRIVE, VAN NUYS MEDICAL SCIENCE BUILDING 116Indianapolis, IN 46202-5126
Mailing Address2401 W University AveMuncie, IN 47303-3428 · (765) 741-1095
Phone(317) 274-8282
Sole ProprietorNo
Enumeration DateApril 26, 2021
Last NPPES UpdateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1669054086 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.

635 BARNHILL DRIVE, Indianapolis, IN 46202
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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)

Dr. Lily Kathleen Wolf 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.

Other Providers at the Same Location NPPES 2

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

SARAH ANIKA KOMANAPALLI MD
Student in an Organized Health Care Education/Training Program
635 BARNHILL DRIVE, VAN NUYS MEDICAL SCIENCE BUILDING RM 116
INDIANAPOLIS, IN 46202
Marion County (317) 274-8282
GINA SUE CHANG MD
Student in an Organized Health Care Education/Training Program
635 BARNHILL DRIVE, VAN NUYS MEDICAL SCIENCE BUILDING 116
INDIANAPOLIS, IN 46202
Marion County (317) 274-8282

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 Wolf's NPI number?

The NPI number for Lily Wolf is 1669054086. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Lily Wolf located?

Lily Wolf practices at 635 Barnhill Drive Van Nuys Medical Science Building 116, Indianapolis, IN 46202. The listed phone number is (317) 274-8282.

What is Lily Wolf'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 Wolf enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lily Wolf was last updated on June 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.