Individual provider Active NPI

Lisa M Direnzo, D.O.

  • Anesthesiology Physician
  • Wilmington, DE
National Provider Identifier
1104877737
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS 007958 L Issued in PA
Practice address
2006 Limestone Rd
Suite 5
Wilmington, DE 19808-5553
Phone
(302) 995-1860
Fax
(302) 995-5421
NPI assigned
May 16, 2006
Last updated
Apr 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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 OS 007958 L PA Primary

Addresses

Primary practice location

2006 Limestone Rd
Suite 5
Wilmington, DE 19808-5553

Mailing address

2006 Limestone Rd
Suite 5
Wilmington, DE 19808-5553
Phone (302) 995-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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
I20050425000776 PA Practitioner - Anesthesiology 9638117112 Reassigns benefits to 1 organization
I20181220001163 MD Practitioner - Anesthesiology 9638117112 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 007958 LPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Anesthesia Ams LLC Anesthesiology CurrentSince Jul 4, 2018 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients
Anestiplus, Inc. Anesthesiology Past Accepting new patients
Philadelphia Health & Education Corporation Past Accepting new patients
Anesticare Anesthesia Services Anesthesiology Past Accepting new patients

Locations

12252 Williams Rd SE
Ste 1
Cumberland, MD 21502
Phone (240) 552-0185

12252 Williams Rd SE
Ste 103
Cumberland, MD 21502
Phone (240) 522-0185

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

1000 N Broad St
Lansdale, PA 19446
Phone (215) 368-1646

1000 N Broad St
#C
Lansdale, PA 19446
Phone (215) 412-9115

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

Interoperability endpoints

  • Direct secure messaging: ldirenzo@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1104877737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 LIMESTONE RD",
            "address_2": "SUITE 5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085553",
            "telephone_number": "302-995-1860",
            "fax_number": "302-995-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 LIMESTONE RD",
            "address_2": "SUITE 5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085553",
            "telephone_number": "302-995-1860",
            "fax_number": "302-995-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRENZO",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS 007958 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.