Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lijo Illipparambil

Individual provider Pulmonary Disease Physician · NPI 1912360686

Lijo Illipparambil is a Pulmonary Disease in Philadelphia, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (157) 075-8642
Fax: (215) 707-5149
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Department Of Medicine Hsc Level 16, Stony Brook, NY 11794-0001 — (631) 444-2058

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence MD477547 (PA)

Record details

NPI number1912360686
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Philadelphia