JOHN LILLY III MD
NPI 1942704564
Student in an Organized Health Care Education/Training Program in Chester, PA

Active since March 19, 2018PECOS Enrolled
1 MEDICAL CENTER BLVD, CHESTER, PA 19013(610) 447-2000 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2022, Apr 12, 2018, Mar 19, 2018 (3 updates tracked since 2018).

About John Lilly Iii Md NPPES

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

JOHN LILLY III MD (NPI 1942704564) is an individual student in an organized health care education/training program in Chester, Pennsylvania and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1942704564
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN LILLY IIICredential: MD
Location Address1 MEDICAL CENTER BLVDChester, PA 19013-3902
Mailing Address1155 Mill St # W11Reno, NV 89502-1576
Sole ProprietorNo
Enumeration DateMarch 19, 2018
Last NPPES UpdateApril 18, 20223 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
NPI 1942704564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1 MEDICAL CENTER BLVD, Chester, PA 19013

Secondary Practice Location 1

Location 11260 E Woodland Ave Ste 200Springfield, PA 19064-3956 · Phone (775) 237-5174

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Lilly Iii 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 20

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

Pediatrics
1 MEDICAL CENTER BLVD, POB1, SUITE402
CHESTER, PA 19013
Pharmacist
1 MEDICAL CENTER BLVD
CHESTER, PA 19013
Neurological Surgery
1 MEDICAL CENTER BLVD, POB II SUITE 428
CHESTER, PA 19013
Respite Care
1 MEDICAL CENTER BLVD, SILBERMAN CENTER
UPLAND, PA 19013
Obstetrics & Gynecology
1 MEDICAL CENTER BLVD, ACP #334
CHESTER, PA 19013
Psychiatry & Neurology (Neurology)
1 MEDICAL CENTER BLVD, ACP STE 533
CHESTER, PA 19013
Transplant Surgery
1 MEDICAL CENTER BLVD, POB II SUITE 220
CHESTER, PA 19013
Family Medicine
1 MEDICAL CENTER BLVD
CHESTER, PA 19013

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 John Lilly's NPI number?

The NPI number for John Lilly is 1942704564. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is John Lilly located?

John Lilly practices at 1 Medical Center Blvd, Chester, PA 19013. The listed phone number is (610) 447-2000.

What is John Lilly's specialty?

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

Is John Lilly enrolled in Medicare?

Yes. John Lilly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Lilly was last updated on April 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.