NPIMap

Individual provider Active NPI

Barbara D. Lis, M.D.

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1003872888
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101058007 Issued in VA
Practice address
1501 Sentinel Dr Ste 407
Chesapeake, VA 23320-4471
Phone
(757) 276-7585
Fax
(877) 485-8290
NPI assigned
Apr 21, 2006
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101058007 VA Primary

Addresses

Primary practice location

1501 Sentinel Dr Ste 407
Chesapeake, VA 23320-4471

Mailing address

1501 Sentinel Dr Ste 407
Chesapeake, VA 23320-4471
Phone (757) 276-7585

Other identifiers 1

IdentifierTypeStateIssuer
5645174MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address barbara.lis.1@29601.direct.athenahealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000224 VA Practitioner - Family Practice 0345407144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1501 Sentinel Dr
Suite 407
Chesapeake, VA 23320-4465
Phone (757) 276-7585

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101058007VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care VA PLLC Family Medicine Current Accepting new patients
Centerwell Senior Primary Care VA PLLC Family Medicine CurrentSince Feb 17, 2025 Accepting new patients
Centerwell Senior Primary Care VA PLLC Family Medicine CurrentSince Feb 17, 2025 Accepting new patients
Centerwell Senior Primary Care VA PLLC Family Medicine Past Accepting new patients
Centerwell Senior Primary Care VA PLLC Family Medicine Past Accepting new patients

Locations

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

1501 Sentinel Dr
Ste 407
Chesapeake, VA 23320
Phone (757) 276-7585

7525 Tidewater Dr
Ste 19
Norfolk, VA 23505
Phone (757) 330-0150

Networks

  • KY PPO
  • TN PPO C-SNP
  • KY PPO C-SNP
  • TN PPO
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 5

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

Hospital & facility affiliations 9

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1003872888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SENTINEL DR STE 407",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204471",
            "telephone_number": "757-276-7585",
            "fax_number": "877-485-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SENTINEL DR STE 407",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204471",
            "telephone_number": "757-276-7585",
            "fax_number": "877-485-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIS",
        "first_name": "BARBARA",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101058007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5645174",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barbara.lis.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1501 Sentinel Dr Ste 407",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233204471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.