Todd A. Lisy, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-075097 Issued in OH

Practice address

4880 S Main St
Suite 4
Akron, OH 44319-4474

Phone

(330) 644-2700

Fax

(330) 634-1329

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Northeastern Ohio University College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pioneer Physicians Network IncGroup PAC ID 0648160002, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summa Home Health and Hospice LLC Home health agency, Akron, OH, CCN 367713
• Summa Health System Hospital, Akron, OH, CCN 360020
• Akron General Medical Center Hospital, Akron, OH, CCN 360027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA
• Direct secure messaging: todd.lisy@ppn.eclinicaldirectplus.com

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.

• Pioneer Physicians Network, Inc.

  • Family Medicine Physician
  • Uniontown, OH
  • NPI 1851354633

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Pioneer Physicians Network Inc

  • Family Medicine Physician
  • Canton, OH
  • NPI 1174296172
  NPD
• Western Reserve Hospital, LLC

  • General Acute Care Hospital
  • Cuyahoga Falls, OH
  • NPI 1518104199
  NPD (past)

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

• Akron General Medical Center

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1821035940
  Care Compare affiliation
• Summa Health System

  dba Summa Health System Ignatia Hall South

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1295036762

  Hospital

  Care Compare affiliation
• Summa Health System

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1396765681
  Care Compare affiliation
• Summa Health System

  • Clinical Medical Laboratory
  • Barberton, OH
  • NPI 1609263706

  Hospital

  Care Compare affiliation
• Summa Home Health and Hospice, LLC

  dba Summa Health at Home

  • Home Health Agency
  • Akron, OH
  • NPI 1013422534
  Care Compare affiliation

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1255321576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD",
            "address_2": "SUITE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446856400",
            "telephone_number": "330-899-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 S MAIN ST",
            "address_2": "SUITE 4",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443194474",
            "telephone_number": "330-644-2700",
            "fax_number": "330-634-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISY",
        "first_name": "TODD",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-075097",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-075097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2225372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexia Lishnevski, MD
• Jennifer Marie Lisic
• Julianna Lisowsky
• Cassandra Lispari, LPN
• Peter Listerman, MD
• George I Litman, MD
• Carrie A Litten, CPNP
• Cherise A Little
• Garrett Owen Little, MD
• Gerlean Marie Little

• Internal Medicine Physician in Akron, OH
• Providers in Akron, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.