DR. IVY ROSE LORETO LORILLA MD
NPI 1912163619
Family Medicine in San Carlos, CA

Q: What is Ivy Rose Lorilla's NPI number?

The NPI number for Ivy Rose Lorilla is 1912163619. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Q: What is Ivy Rose Lorilla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ivy Rose Lorilla was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 01, 2008PECOS EnrolledAccepts Medicare Assignment

301 INDUSTRIAL RD, SAN CARLOS, CA 94070(650) 596-4000 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2020, Sep 5, 2018 (2 updates tracked since 2018).

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About Dr. Ivy Rose Loreto Lorilla Md NPPES

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

DR. IVY ROSE LORETO LORILLA MD (NPI 1912163619) is an individual family medicine provider in San Carlos, California, licensed in California (A127118) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Palo Alto, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2007).

NPPES Registry Identity

NPI1912163619

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. IVY ROSE LORETO LORILLACredential: MD

Location Address301 INDUSTRIAL RDSan Carlos, CA 94070-2603

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 551-7043

Phone(650) 596-4000

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2007

Enumeration DateAugust 1, 2008

Last NPPES UpdateJune 3, 20202 updates tracked since enumeration

NPPES CertifiedJune 3, 2020

✔ NPI 1912163619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · A127118✔ Licensed in CT · 48501

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

301 INDUSTRIAL RD, San Carlos, CA 94070

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Secondary Practice Location 1

Location 1725 Welch RdPalo Alto, CA 94304-1601 · Phone (203) 854-9292 · Fax (203) 854-9437

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. Ivy Rose Loreto Lorilla 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.

PECOS PAC ID6406035559

PECOS Enrollment IDI20140110000944

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

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

Lpch Medical Group Div Of Lucile

7.0 mi

Children

725 WELCH RD
Palo Alto, CA 94304

Reassigned Medicare billing, California enrollment
3,617 clinicians in this Medicare group

NPI 1417907940 (650) 498-6762

Sutter Bay Medical Foundation

7.4 mi

Multi-Specialty

795 EL CAMINO REAL
Palo Alto, CA 94301

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1013950807 (650) 321-4121

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 3

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.

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.

96 services60 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

42 services42 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94070 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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.

REBECCA ASHE MD

Internal Medicine