Individual provider Active NPI

Lisa Intriere, MD

  • Diagnostic Radiology Physician
  • Concord, MA
National Provider Identifier
1245284983
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
204701 Issued in MA
Practice address
133 Old Road to 9 Acre Cor
Concord, MA 01742-4159
Phone
(978) 287-3794
Fax
(978) 287-3729
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 24771 ME
Diagnostic Radiology Physician 2085R0202X MD11513 RI
Diagnostic Radiology Physician 2085R0202X MD29855 ME
Diagnostic Radiology Physician 2085R0202X 204701 MA Primary

Addresses

Primary practice location

133 Old Road to 9 Acre Cor
Concord, MA 01742-4159

Mailing address

133 Old Road to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3794

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4735

Other identifiers 2

IdentifierTypeStateIssuer
110001564AMedicaidMA
1245284983MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX, CA, ME, NH5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20071017000641 MA Practitioner - Diagnostic Radiology 5193785319 Reassigns benefits to 7 organizations
I20220114001951 TX Practitioner - Diagnostic Radiology 5193785319 Reassigns benefits to 1 organization
I20221020003267 CA Practitioner - Diagnostic Radiology 5193785319 Reassigns benefits to 1 organization
I20251212000454 ME Practitioner - Diagnostic Radiology 5193785319 Reassigns benefits to 2 organizations
I20260127003075 NH Practitioner - Diagnostic Radiology 5193785319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, shared by 7 NPIs, 305 clinicians
Pratt Radiology Associates IncGroup PAC ID 8820989411, 53 clinicians

Practice addresses (Care Compare)

1 Devonshire PL
Apt 2013
Boston, MA 02109-3541
Phone (260) 432-8223

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 871-2571

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

4 Dickens Row
Scituate, MA 02066-4312
Phone (844) 947-4259

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24771MEMDDiagnostic Radiology Physician
MD29855MEMDDiagnostic Radiology Physician
MD11513RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Oct 6, 2021 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Jan 5, 2026 Accepting new patients
North Bridge Imaging Group, LLC CurrentSince Jan 1, 2007 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Apr 3, 2018 Accepting new patients
Advanced Imaging of South Bay, Inc. Diagnostic Radiology CurrentSince Sep 7, 2021 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Jan 5, 2026 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Jan 5, 2026 Accepting new patients
North Bridge Imaging Group, LLC CurrentSince Jan 1, 2007 Accepting new patients
Pratt Radiology Associates, Inc Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Memorial Hospital Past Accepting new patients
SHS Ventures, Inc Past Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology Past Accepting new patients
Slocum Dickson Medical Group PLLC PastSince May 25, 2018 Accepting new patients

Locations

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

Dept LA 21552
Pasadena, CA 91185

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

75 Francis St
Boston, MA 02115

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

10 Little Brook Rd
West Wareham, MA 02576

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Organizations & group practices 15

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 15

Hospital & facility affiliations 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1245284983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 OLD ROAD TO 9 ACRE COR",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424159",
            "telephone_number": "978-287-3794",
            "fax_number": "978-287-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 OLD ROAD TO 9 ACRE COR",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424159",
            "telephone_number": "978-287-3794",
            "fax_number": "978-287-3729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-4735",
            "fax_number": "207-662-6388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INTRIERE",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "24771",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD11513",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD29855",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "204701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110001564A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245284983",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.