Active NPI
Lisa Muncy-Pietrzak, M.D.
- Internal Medicine Physician
- Iowa City, IA
National Provider Identifier
1316913502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 66124
- Practice address
- 601 Highway 6 W
Iowa City, IA 52246-2209 - Phone
- (319) 351-1110
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 66124 | MN | Primary |
Addresses
Primary practice location
601 Highway 6 W
Iowa City, IA 52246-2209
Mailing address
601 Highway 6 W
Iowa City, IA 52246-2209
Phone (319) 338-0581
Other practice location 1
7801 E Bush Lake Rd Ste 400
Minneapolis, MN 55439-3113
Phone (952) 283-3162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62684078 | Medicaid | CO |
Other names 1
- Dr. Lisa Muncy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221215001841 | IA | Order and Referring Only - Internal Medicine | 9537071709 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LTC Professionals, PLLC | Current | Accepting new patients |
Locations
7801 E Bush Lake Rd
Ste 400
Minneapolis, MN 55439
Phone (952) 283-3162
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Minneapolis, MN
- NPI 1689559312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1316913502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 HIGHWAY 6 W",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522462209",
"telephone_number": "319-338-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HIGHWAY 6 W",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522462209",
"telephone_number": "319-351-1110"
}
],
"practiceLocations": [
{
"address_1": "7801 E Bush Lake Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554393113",
"country_code": "US",
"telephone_number": "952-283-3162",
"fax_number": "866-991-7241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNCY-PIETRZAK",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "66124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "62684078",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "MUNCY",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.