Individual provider Active NPI

Lisa L Dreiling, MD

  • Pulmonary Disease Physician
  • Lakewood, CO
National Provider Identifier
1336203959
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35776 Issued in CO
Practice address
5225 W Jewell Ave
Lakewood, CO 80232-7201
Phone
(303) 832-0978
Fax
(303) 832-2138
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35776 CO Primary

Addresses

Primary practice location

5225 W Jewell Ave
Lakewood, CO 80232-7201

Mailing address

1930 So Federal Blvd
Denver, CO 80219
Phone (303) 935-9142

Other identifiers 1

IdentifierTypeStateIssuer
01357763MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20041210000456 CO Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4880651959 Practice locations: Lakewood, CO

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35776COMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Billing Management LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1336203959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 SO FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80219",
            "telephone_number": "303-935-9142",
            "fax_number": "303-934-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 W JEWELL AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327201",
            "telephone_number": "303-832-0978",
            "fax_number": "303-832-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREILING",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "35776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01357763",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.