Individual provider Active NPI

Lisa Schiller Lull, MD

  • Diagnostic Radiology Physician
  • Alexandria, VA
National Provider Identifier
1093880379
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101263277 Issued in VA
Practice address
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone
(703) 504-3000
NPI assigned
Nov 21, 2006
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 28980 NE
Diagnostic Radiology Physician 2085R0202X 00026757 AL
Diagnostic Radiology Physician 2085R0202X 0055972 CO
Diagnostic Radiology Physician 2085R0202X 44917 TN
Diagnostic Radiology Physician 2085R0202X D0066919 MD
Diagnostic Radiology Physician 2085R0202X 10394A WY
Diagnostic Radiology Physician 2085R0202X 27845 WV
Diagnostic Radiology Physician 2085R0202X 0101263277 VA Primary

Addresses

Primary practice location

4320 Seminary Rd
Alexandria, VA 22304-1535

Mailing address

8001 Forbes PL Ste 103
Springfield, VA 22151-2205
Phone (703) 824-3210

Other practice location 1

1840 Amherst St
Winchester, VA 22601-2808
Phone (866) 482-5419

Other practice location 2

1 Healthy Way
Berkeley Springs, WV 25411-7463
Phone (304) 258-6510

Other practice location 3

120 Campus Dr Ste 121
Martinsburg, WV 25404-7552
Phone (681) 242-3713

Other practice location 4

1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0300

Other practice location 5

500 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-5000

Other practice location 6

200 Memorial Dr
Luray, VA 22835-1000
Phone (540) 743-4561

Other practice location 7

759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-1100

Other practice location 8

160 Exeter Dr Ste 103
Winchester, VA 22603-8614
Phone (540) 686-1600

Other practice location 9

160 Exeter Dr Ste 104
Winchester, VA 22603-8614
Phone (540) 545-4674

Other practice location 10

363 Sunrise Blvd
Romney, WV 26757-4607
Phone (304) 822-4561

Other names 1

  • Lisa Gail Schiller Former name

Electronic endpoints 10

TypeEndpointUseAffiliation
Direct Messaging Address llull325168@soc.inova.org
Direct Messaging Address llull325168@soc.inova.org
Direct Messaging Address llull325168@soc.inova.org
Direct Messaging Address llull325168@soc.inova.org
Direct Messaging Address llull325168@soc.inova.org
Direct Messaging Address llull325168@soc.inova.org
Direct Messaging Address llull325168@soc.inova.org
Direct Messaging Address llull325168@soc.inova.org
Direct Messaging Address llull325168@soc.inova.org
Direct Messaging Address llull325168@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, WV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20091214000007 TN Practitioner - Diagnostic Radiology 7315010873 Reassigns benefits to 3 organizations
I20190129000489 VA Practitioner - Diagnostic Radiology 7315010873 Reassigns benefits to 5 organizations
I20190416000949 WV Practitioner - Diagnostic Radiology 7315010873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Radiology PCGroup PAC ID 7416860473, 77 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-2200

105 Fairlea CT
Lynchburg, VA 24503-2164
Phone (423) 968-1144

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00026757ALMDDiagnostic Radiology Physician
0055972COMDDiagnostic Radiology Physician
28980NEMDDiagnostic Radiology Physician
10394AWYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Dec 24, 2018 Accepting new patients
Association of Alexandria Radiologists, P.C. Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Sep 18, 2018 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Sep 18, 2018 Accepting new patients
Warren Memorial Hospital, Inc. Current Accepting new patients
Winchester Radiologists PC Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Sep 18, 2018 Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Feb 4, 2019 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Dec 18, 2018 Accepting new patients
War Memorial Hospital, Inc. CurrentSince Feb 4, 2019 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Dec 18, 2018 Accepting new patients
Winchester Medical Center Current Accepting new patients
Shenandoah Memorial Hospital Inc. CurrentSince Sep 18, 2018 Accepting new patients
Winchester Medical Center CurrentSince Dec 24, 2018 Accepting new patients
War Memorial Hospital Inc CurrentSince Feb 4, 2019 Accepting new patients
Blue Ridge Radiology, P.C. Diagnostic Radiology CurrentSince May 22, 2023 Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Feb 4, 2019 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

3053 W State St
Bristol, TN 37620
Phone (423) 301-6567

4289 Bonny Oaks Dr
Ste 106
Chattanooga, TN 37406

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

120 N Commerce Ave
Ste 230
Front Royal, VA 22630
Phone (540) 635-0760

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

9166 N Congress St
New Market, VA 22844
Phone (540) 459-1340

8001 Forbes Pl
Ste 103
Springfield, VA 22151
Phone (703) 824-3200

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

160 Exeter Dr
Ste 103
Winchester, VA 22603
Phone (541) 686-1600

160 Exeter Dr
Ste 104
Winchester, VA 22603
Phone (540) 431-3600

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

1 Healthy Way
Berkeley Springs, WV 25411
Phone (304) 258-1234

120 Campus Dr
Ste 121
Martinsburg, WV 25404
Phone (681) 242-3713

329 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4932

363 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4561

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1093880379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 FORBES PL STE 103",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512205",
            "telephone_number": "703-824-3210",
            "fax_number": "703-321-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 SEMINARY RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041535",
            "telephone_number": "703-504-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "866-482-5419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Healthy Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley Springs",
            "state": "WV",
            "postal_code": "254117463",
            "country_code": "US",
            "telephone_number": "304-258-6510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Campus Dr Ste 121",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254047552",
            "country_code": "US",
            "telephone_number": "681-242-3713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Shenandoah Ave",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226303547",
            "country_code": "US",
            "telephone_number": "540-636-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "201863027",
            "country_code": "US",
            "telephone_number": "540-316-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Luray",
            "state": "VA",
            "postal_code": "228351000",
            "country_code": "US",
            "telephone_number": "540-743-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 S Main St",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "VA",
            "postal_code": "226641154",
            "country_code": "US",
            "telephone_number": "540-459-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Exeter Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226038614",
            "country_code": "US",
            "telephone_number": "540-686-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Exeter Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226038614",
            "country_code": "US",
            "telephone_number": "540-545-4674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "363 Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Romney",
            "state": "WV",
            "postal_code": "267574607",
            "country_code": "US",
            "telephone_number": "304-822-4561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LULL",
        "first_name": "LISA",
        "middle_name": "SCHILLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "28980",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00026757",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "0055972",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "44917",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0066919",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "10394A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "27845",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101263277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llull325168@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "200 Memorial Dr",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llull325168@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "160 Exeter Dr Ste 104",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226038614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llull325168@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "160 Exeter Dr Ste 103",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226038614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llull325168@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llull325168@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "759 S Main St",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llull325168@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "1 Healthy Way",
            "city": "Berkeley Springs",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254117463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llull325168@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "363 Sunrise Blvd",
            "city": "Romney",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267574607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llull325168@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "120 Campus Dr Ste 121",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llull325168@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "1000 N Shenandoah Ave",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226303547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llull325168@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "500 Hospital Dr",
            "city": "Warrenton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201863027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SCHILLER",
            "middle_name": "GAIL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.