LILIANE IDYLLE (D.O.) – Internal Medicine Physician, NPI 1114298957

LILIANE IDYLLE (D.O.) is a healthcare provider. based in Cerritos, California. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 12060 (CA). The NPI Number for LILIANE IDYLLE (D.O.) is 1114298957

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
LILIANE IDYLLE (D.O.)
NPI
1114298957
Phone
(562) 977-4639
Address
12900 PARK PLAZA DR STE 150
Enumeration Date
25 January 2012
Last Update Date
21 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5628034500
Graduation Year
2010 (16 years ago)
PAC ID
1355567223
Group Practice PAC ID
5496178055
Professional Enrollment ID
I20210519001474
Address ID
CA924084201SA473XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for LILIANE IDYLLE (D.O.)

  • 12900 PARK PLAZA DR STE 150

    CERRITOS, CA 907039329

    Phone: (562) 977-4639

    Fax: (562) 741-4479

    Type: Mailing

  • 2444 W BEVERLY BLVD

    MONTEBELLO, CA 906402306

    Phone: (562) 333-8288

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $180.

Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($140).

Total Amount

$180

General + Research + Ownership

Payments

2

Total payment records

General Amount

$180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210519001474IInternal MedicineCATBD
I20240611003029IInternal MedicineOHTBD
I20240725000133IInternal MedicineTNTBD
I20240730003136IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6556$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes4028$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1711$0
View full utilization report →

Insurance plans in this area (ZIP 90703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496178055View full group profile
NameSpecialtyState
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerIN
Family PracticeCA

Reviews

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Frequently asked questions

What federal number belongs to LILIANE IDYLLE (D.O.)?
The federal identifier for LILIANE IDYLLE (D.O.) is NPI 1114298957.
Is LILIANE IDYLLE (D.O.) currently active in the NPI registry?
CMS-published data lists LILIANE IDYLLE (D.O.) as an active registrant.
What field does LILIANE IDYLLE (D.O.) work in?
You can think of LILIANE IDYLLE (D.O.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is LILIANE IDYLLE (D.O.)'s primary listing?
We display Cerritos, California because that is what the record indicates for LILIANE IDYLLE (D.O.).
How can I contact LILIANE IDYLLE (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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