Active NPI
Liliana Rosselli Risal, MD
- Internal Medicine Physician
- Jamaica Plain, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 157100
- Practice address
- 640 Centre Street
Southern Jamaica Plain Health Center
Jamaica Plain, MA 02130 - Phone
- (617) 983-4100
- NPI assigned
- Apr 18, 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 | 157100 | MA | Primary |
Addresses
Primary practice location
640 Centre Street
Southern Jamaica Plain Health Center
Jamaica Plain, MA 02130
Mailing address
111 Cypress St
Brigham and Womens Physicians Organization
Brookline, MA 02445
Phone (617) 582-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
640 Centre St
Boston, MA 02130-2555
Phone (617) 983-6039
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Hospital & facility affiliations
- Mass General Brigham Home Care, Inc
- Brigham and Women'S Hospital
- Brigham and Women Faulkner Hospital
- Massachusetts General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham & Womens Hospital, Inc. | Current | Accepting new patients | |
| Brigham & Womens Hospital | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Internal Medicine | Past | Accepting new patients |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010
640 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-4100
399 Revolution Dr
Somerville, MA 02145
Phone (800) 856-1983
Interoperability endpoints
- rosselli-risal.liliana.bwh@direct.partners.masshiway.net
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Jamaica Plain, MA
- NPI 1992013932
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Dermatology Physician
- Boston, MA
- NPI 1083647648
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1447215009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CYPRESS ST",
"address_2": "BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02445",
"telephone_number": "617-582-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 CENTRE STREET",
"address_2": "SOUTHERN JAMAICA PLAIN HEALTH CENTER",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "02130",
"telephone_number": "617-983-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSELLI RISAL",
"first_name": "LILIANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "157100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.
- 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.