Individual provider Active NPI

Lisette Musaib-Ali, M.D.

  • Internal Medicine Physician
  • Newark, DE
National Provider Identifier
1417104258
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0074530 Issued in MD
Practice address
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone
(302) 733-1000
NPI assigned
Aug 22, 2008
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C1-0011408 DE
Internal Medicine Physician 207R00000X MD454499 PA
Internal Medicine Physician 207R00000X D0074530 MD Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd
Newark, DE 19718

Mailing address

1811 Ewing Rd
Cochranville, PA 19330-1629
Phone (443) 345-9455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130212000384 MD Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Gastroenterology 2163676537 Reassigns benefits to 1 organization
I20171012001614 DE Practitioner - Internal Medicine 2163676537 Reassigns benefits to 3 organizations
I20171108001644 PA Practitioner - Internal Medicine 2163676537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

555 N Duke St
Penn Medicine Lancaster General Health Phys
Lancaster, PA 17602-2250
Phone (267) 857-7751

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0011408DEMDInternal Medicine Physician
MD454499PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Delaware, LLC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Lancaster General Hospital CurrentSince Dec 9, 2024 Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Signify Health, LLC CurrentSince Mar 19, 2024 Accepting new patients
Lancaster General Hospital Internal Medicine CurrentSince Dec 9, 2024 Accepting new patients
Tri-County Hospitalists, LLC Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 14, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 1, 2017 Accepting new patients
Hollis Seunarine Mdpa LLC CurrentSince Nov 23, 2012 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

4755 Ogletownstanton Rd
Newark, DE 19718
Phone (302) 733-6510

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

5010 York Rd
Baltimore, MD 21212
Phone (410) 433-2200

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

507 Kimberton Rd
Phoenixville, PA 19460
Phone (484) 429-2351

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: lmusaibali262215@direct-lghealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1417104258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 EWING RD",
            "city": "COCHRANVILLE",
            "state": "PA",
            "postal_code": "193301629",
            "telephone_number": "443-345-9455",
            "fax_number": "844-643-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19718",
            "telephone_number": "302-733-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSAIB-ALI",
        "first_name": "LISETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0011408",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD454499",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0074530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.