NPI Details
Michael John Lillestol, M.D. is an internal medicine in Fargo, ND with 52 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Michael John Lillestol, M.D. NPI is 1669427688. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:1974
The provider's business location address is:
1707 GOLD DR
STE 101
FARGO, ND
ZIP 58103-413
Phone: (701) 280-2033
Fax: (701) 232-5578
The NPI 1669427688 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
- Hemoglobin a1c level (HCPCS:83036)
- Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
- Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
- Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment (HCPCS:77085)
- Thyroid hormone, t3 measurement, free (HCPCS:84481)
- Thyroxine (thyroid chemical), free (HCPCS:84439)
- Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
- Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
- Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
- Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
- Fee covid-19 vac 14 res (HCPCS:0134A)
- X-ray of chest, 2 views (HCPCS:71046)
- Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
- Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
- Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
The enumeration date for this NPI number is 5/25/2006 and was last updated on 8/27/2010.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 4830 | NORTH DAKOTA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1008297 | OTHER | | PREFERRED ONE |
| 2 | 21574 | OTHER | NORTH DAKOTA | ND BLUE SHIELD |
| 3 | D26082 | MEDICARE UPIN | | |
| 4 | 04-12025 | OTHER | | MEDICA |
| 5 | D26082 | OTHER | NORTH DAKOTA | ND WORKERS COMP |
| 6 | ND4830 | OTHER | | CHAMPUS |
| 7 | 141875400 | OTHER | | FEDERAL WORKERS COMP |
| 8 | 116742 | OTHER | | UCARE |
| 9 | 663288200 | MEDICAID | MINNESOTA | |
| 10 | 162D9LI | OTHER | NORTH DAKOTA | MINNESOTA BLUE SHIELD |
| 11 | 14165 | MEDICAID | NORTH DAKOTA | |
| 12 | 110244424 | MEDICARE ID-TYPE UNSPECIFIED | | RAILROAD MEDICARE |
| 13 | 21574 | MEDICARE ID-TYPE UNSPECIFIED | NORTH DAKOTA | |