DR. DAVID REDFORD LILJENQUIST (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1932109931

DR. DAVID REDFORD LILJENQUIST (MD) is a healthcare provider. based in Idaho falls, Idaho. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. M9285 (ID). The NPI Number for DR. DAVID REDFORD LILJENQUIST (MD) is 1932109931

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID REDFORD LILJENQUIST (MD)
NPI
1932109931
Phone
(208) 523-1122
Address
3910 WASHINGTON PARKWAY
Enumeration Date
1 August 2005
Last Update Date
21 September 2021

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2085231122
Graduation Year
2001 (25 years ago)
PAC ID
4587695218
Group Practice PAC ID
5890750483
Professional Enrollment ID
I20050823000476
Address ID
ID832012744PO444XXWAYX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

16 ENDOCRINOLOGY in ID

Provider Addresses for DR. DAVID REDFORD LILJENQUIST (MD)

  • 3910 WASHINGTON PARKWAY

    IDAHO FALLS, ID 834047596

    Phone: (208) 523-1122

    Fax: (208) 523-2582

    Type: Mailing

  • 2220, East 25th Street, Idaho Falls, Bonneville County, Idaho, 83404, United States

    IDAHO FALLS, ID 834047542

    Phone: (208) 523-1122

    Fax: (208) 523-2582

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 149 Open Payments records for all available years, with a total value of $2,267.

Total Amount is formed as General ($2,267) + Research ($0) + Ownership ($0) = $2,267.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($479).

Total Amount

$2,267

General + Research + Ownership

Payments

149

Total payment records

General Amount

$2,267

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2005-08-23

PECOS data refreshed: 2026-05-27

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
I20050823000476IEndocrinologyIDTBD

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
J3111Injection, romosozumab-aqqg, 1 mg14,28011$0
36415Insertion of needle into vein for collection of blood sample963682$0
J0897Injection, denosumab, 1 mg96012$0
99214Established patient office or other outpatient visit, 30-39 minutes770593$0
83036Hemoglobin a1c level583444$0
View full utilization report →

Insurance plans in this area (ZIP 83404)

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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: 5890750483View full group profile
NameSpecialtyState
Nurse PractitionerPA
Registered Dietitian Or Nutrition ProfessionalID
E N D O C R I N O L O G YID
Registered Dietitian Or Nutrition ProfessionalID
Nurse PractitionerID
-ID
Registered Dietitian Or Nutrition ProfessionalID
Nurse PractitionerID
Endocrinology, Internal MedicineID
Registered Dietitian Or Nutrition ProfessionalID

Reviews

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Frequently asked questions

Is there an official ID for DR. DAVID REDFORD LILJENQUIST (MD) in U.S. healthcare records?
The official identifier for DR. DAVID REDFORD LILJENQUIST (MD) is NPI 1932109931.
Would DR. DAVID REDFORD LILJENQUIST (MD) appear as active to a payer?
You can treat DR. DAVID REDFORD LILJENQUIST (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. DAVID REDFORD LILJENQUIST (MD)?
DR. DAVID REDFORD LILJENQUIST (MD)'s record emphasizes Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DAVID REDFORD LILJENQUIST (MD)?
Directory geography for DR. DAVID REDFORD LILJENQUIST (MD) centers on Idaho Falls, Idaho.
When was this NPI issued?
Enumeration for DR. DAVID REDFORD LILJENQUIST (MD) is noted as August 1, 2005 where the registry provides it.

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