Individual provider Active NPI

Lara Eisa, M.D

  • Anesthesiology Physician
  • Buffalo, NY
National Provider Identifier
1003226226
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
273761 Issued in MA
Practice address
3435 Main St
252 Farber Hall
Buffalo, NY 14214-3001
Phone
(716) 829-6102
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 273761 MA Primary

Addresses

Primary practice location

3435 Main St
252 Farber Hall
Buffalo, NY 14214-3001

Mailing address

25 Morrissey Blvd Unit 1130
Dorchester, MA 02125-3354
Phone (716) 364-8535

Other practice location 1

1 Boston Medical Ctr Pl Ste 1
Boston, MA 02118-3001
Phone (176) 386-9506

Other identifiers 2

IdentifierTypeStateIssuer
110131572AMedicaidMA
S400580656OtherMAMEDICARE

Other names 1

  • Lara Abdel-Shafei Eisa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190801000572 MA Practitioner - Anesthesiology 6103152905 Reassigns benefits to 5 organizations
I20240205002012 CT Practitioner - Anesthesiology 6103152905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians
Integrated Anesthesia Associates LLCGroup PAC ID 1759281165, 402 clinicians

Practice addresses (Care Compare)

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919

80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Apr 1, 2023 Accepting new patients
Integrated Anesthesia Associates LLC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Springfield Anesthesia Service, Inc. Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jan 10, 2024 Accepting new patients
Pulse Anesthesia Consultants PC Anesthesiology CurrentSince Jan 5, 2023 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Umass Memorial Medical Group Inc Anesthesiology Past Accepting new patients

Locations

99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

50 Wason Ave
Fl 2
Springfield, MA 01107
Phone (413) 286-1020

908 Allen St
Springfield, MA 01118
Phone (413) 732-5139

181 Park Ave
Ste 5
West Springfield, MA 01089
Phone 80051653155104

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

Interoperability endpoints

  • Direct secure messaging: leisa71721@direct.southcoast.org
  • Direct secure messaging: leisa253280@direct.bmc.masshiway.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1003226226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MORRISSEY BLVD UNIT 1130",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021253354",
            "telephone_number": "716-364-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 MAIN ST",
            "address_2": "252 FARBER HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143001",
            "telephone_number": "716-829-6102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Boston Medical Ctr Pl Ste 1",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021183001",
            "country_code": "US",
            "telephone_number": "176-386-9506",
            "fax_number": "617-638-6966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISA",
        "first_name": "LARA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "273761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110131572A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "S400580656",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARA",
            "last_name": "ABDEL-SHAFEI EISA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.