Individual provider Active NPI

Lisa M Pomerleau, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1235160599
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35068372 Issued in OH
Practice address
3301 Mercy Health Blvd
Ste. 340
Cincinnati, OH 45211-1105
Phone
(513) 981-5922
Fax
(513) 385-6430
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35068372 OH Primary

Addresses

Primary practice location

3301 Mercy Health Blvd
Ste. 340
Cincinnati, OH 45211-1105

Mailing address

3301 Mercy Health Blvd
Ste. 340
Cincinnati, OH 45211-1105
Phone (513) 981-5922

Other identifiers 1

IdentifierTypeStateIssuer
0147773MedicaidOH

Other names 1

  • Dr. Lisa M Summe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051027001214 OH Practitioner - Internal Medicine 9234156332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

2446 Kipling Ave
Cincinnati, OH 45239-6650
Phone (513) 583-8500

3301 Mercy Health Blvd
Suite 340
Cincinnati, OH 45211-1112
Phone (513) 981-5922

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35068372OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jan 1, 2017 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Montgomery Hospitalists LLC Past Accepting new patients
Kenwood Hospitalists, LLC Internal Medicine Past Accepting new patients

Locations

8000 5 Mile Rd
Ste 305
Cincinnati, OH 45230
Phone (513) 232-3500

8000 5 Mile Rd
Ste 320
Cincinnati, OH 45230
Phone (513) 232-6900

3301 Mercy Health Blvd
Ste 340
Cincinnati, OH 45211
Phone (513) 686-2663

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

Interoperability endpoints

  • Direct secure messaging: lpomerleau2188@direct.bsmhealth.org

Organizations & group practices 4

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 4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1235160599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BLVD",
            "address_2": "STE. 340",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111105",
            "telephone_number": "513-981-5922",
            "fax_number": "513-385-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BLVD",
            "address_2": "STE. 340",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111105",
            "telephone_number": "513-981-5922",
            "fax_number": "513-385-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERLEAU",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35068372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147773",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SUMME",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.