Active NPI
Lisa Anne Rotunda, DC
- Chiropractor
- Pittsburgh, PA
National Provider Identifier
1376689950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC003494L
- Practice address
- 5940 Baum Blvd
Suite 7
Pittsburgh, PA 15206-3845 - Phone
- (412) 361-8033
- Fax
- (412) 361-5715
- NPI assigned
- Jan 30, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC003494L | PA | Primary |
Addresses
Primary practice location
5940 Baum Blvd
Suite 7
Pittsburgh, PA 15206-3845
Mailing address
5940 Baum Blvd
Suite 7
Pittsburgh, PA 15206-3845
Phone (412) 361-8033
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165015 | Other | PA | BLUE SHIELD |
| 201977 | Other | PA | UPIN C HEALTH PLAN |
| 350039280 | Other | RR TRAVELERS MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050815000104 | PA | Practitioner - Chiropractic | 5597795112 | Practice locations: Pittsburgh, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5940 Baum Blvd
Suite 7
Pittsburgh, PA 15206-3845
Phone (412) 361-8033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC003494L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376689950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 BAUM BLVD",
"address_2": "SUITE 7",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063845",
"telephone_number": "412-361-8033",
"fax_number": "412-361-5715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 BAUM BLVD",
"address_2": "SUITE 7",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063845",
"telephone_number": "412-361-8033",
"fax_number": "412-361-5715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTUNDA",
"first_name": "LISA",
"middle_name": "ANNE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC003494L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "165015",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN C HEALTH PLAN",
"identifier": "201977",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR TRAVELERS MEDICARE",
"identifier": "350039280",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.