LILLIAN MARY GHOSH (NP) – Acute Care Nurse Practitioner, NPI 1174284855

LILLIAN MARY GHOSH (NP) is a healthcare provider. based in Simi valley, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 95018094 (CA). The NPI Number for LILLIAN MARY GHOSH (NP) is 1174284855

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
LILLIAN MARY GHOSH (NP)
NPI
1174284855
Phone
(818) 825-4305
Address
2512 HAWK ST
Enumeration Date
5 January 2022
Last Update Date
5 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8059556107
Graduation Year
2021 (5 years ago)
PAC ID
1759763873
Group Practice PAC ID
9931391604
Professional Enrollment ID
I20220804003746
Address ID
CA930651201SI2975XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

Provider Addresses for LILLIAN MARY GHOSH (NP)

  • 2512 HAWK ST

    SIMI VALLEY, CA 930652343

    Phone: (818) 825-4305

    Type: Mailing

  • 13711 FOOTHILL BLVD UNIT B

    SYLMAR, CA 913423138

    Phone: (818) 408-8008

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-08-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20220804003746INurse PractitionerCATBD

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
99284Emergency department visit with moderate level of medical decision making3332$0
99285Emergency department visit with high level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 93065)

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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: 9931391604View full group profile
NameSpecialtyState
Emergency MedicineCA
Emergency MedicineCA
-CA
-CA
-CA
Emergency MedicineCA
Emergency MedicineMI
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA

Reviews

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Frequently asked questions

What identifier follows LILLIAN MARY GHOSH (NP) across health systems?
The NPI 1174284855 uniquely identifies LILLIAN MARY GHOSH (NP) in U.S. healthcare data.
Quick check: is LILLIAN MARY GHOSH (NP) active?
Public NPPES data shows LILLIAN MARY GHOSH (NP) with an active NPI status right now.
What services align with LILLIAN MARY GHOSH (NP)'s listing?
LILLIAN MARY GHOSH (NP)'s public classification highlights Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to LILLIAN MARY GHOSH (NP)?
LILLIAN MARY GHOSH (NP) shows a connection to Simi Valley, California in registry-derived data.
Can I export LILLIAN MARY GHOSH (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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