Lily Kwatampora, MD is a medicare enrolled "Specialist" physician in Goshen, Indiana. She graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Endocrinology. She is a member of the group practice Goshen Health System Inc and her current practice location is
2012 S Main St, Ste C, Goshen, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 500-2010.
Lily Kwatampora is licensed to practice in Indiana (license number 01076257A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407182041.
Physician's Profile
| Full Name | Lily Kwatampora |
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| Gender | Female |
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| Speciality | Endocrinology |
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| Experience | 23 Years |
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| Location | 2012 S Main St, Goshen, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Lily Kwatampora graduated from medical school in 2003
NPI Data:
- NPI Number: 1407182041
- Provider Enumeration Date: 11/01/2009
- Last Update Date: 01/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 0547559536
- Enrollment ID: I20160513001668
Medical Identifiers
Medical identifiers for Lily Kwatampora such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407182041 | NPI | - | NPPES |
| 201354690 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | EMC0008507 (Michigan) | Secondary |
| 174400000X | Specialist | 01076257A (Indiana) | Primary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Goshen Health System Inc | 4880598572 | 140 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lily Kwatampora allows following entities to bill medicare on her behalf.
| Entity Name | Goshen Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lily Kwatampora is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lily Kwatampora, MD 2012 S Main St, Ste C, Goshen, IN 46526-5200 Ph: () - | Lily Kwatampora, MD 2012 S Main St, Ste C, Goshen, IN 46526-5200 Ph: (574) 500-2010 |
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