Individual provider Active NPI

Lisa Pan, M.D.

  • Child & Adolescent Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1336299270
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD420270 Issued in PA
Practice address
100 N Bellefield Ave
Suite 465
Pittsburgh, PA 15213-2600
Phone
(412) 246-5597
NPI assigned
Jan 11, 2007
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD420270 PA Primary

Addresses

Primary practice location

100 N Bellefield Ave
Suite 465
Pittsburgh, PA 15213-2600

Mailing address

750 Washington Rd Ste 19
Pittsburgh, PA 15228-2052
Phone (412) 545-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20071120000119 PA Practitioner - Psychiatry 7214025543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Geisel School of Medicine at Dartmouth, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Persad Center, IncGroup PAC ID 4183521065, 12 clinicians

Practice addresses (Care Compare)

5301 Butler St
Suite 100
Pittsburgh, PA 15201-2658
Phone (412) 441-9786

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420270PAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Persad Center, Inc. CurrentSince Jan 6, 2026 Accepting new patients

Locations

5301 Butler St
Ste 100
Pittsburgh, PA 15201
Phone (412) 441-9786

59 E Strawberry Ave
Washington, PA 15301
Phone (724) 344-6625

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1336299270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON RD STE 19",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282052",
            "telephone_number": "412-545-5445",
            "fax_number": "412-219-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BELLEFIELD AVE",
            "address_2": "SUITE 465",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132600",
            "telephone_number": "412-246-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD420270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.