Individual provider Active NPI

Lisa T Newsome, M.D.

  • Anesthesiology Physician
  • Raleigh, NC
National Provider Identifier
1447235304
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
9401068 Issued in NC
Practice address
1300 Western Blvd
Raleigh, NC 27606-2148
Phone
(919) 832-3432
Fax
(919) 832-3305
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9401068 NC
Anesthesiology Physician 207L00000X 036167627 IL
Anesthesiology Physician 207L00000X 9401068 NC Primary
Dental Anesthesiology 1223D0004X 9401068 NC

Addresses

Primary practice location

1300 Western Blvd
Raleigh, NC 27606-2148

Mailing address

10 Commerce Dr
New Rochelle, NY 10801-5214
Phone (914) 637-3510

Other practice location 1

4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 344-5000

Other identifiers 1

IdentifierTypeStateIssuer
8982439MedicaidNC

Other names 1

  • Dr. Lisa D. Testa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, IL3 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
I20081017000374 NC Practitioner - Anesthesiology 6103994637 Reassigns benefits to 4 organizations
I20230217000339 SC Practitioner - Anesthesiology 6103994637 Reassigns benefits to 1 organization
I20240103000895 IL Practitioner - Anesthesiology 6103994637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Vanderbilt University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4201 W Medical Ctr Dr
McHenry, IL 60050-8409
Phone (815) 759-4323

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9401068NCMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Musc Community Physicians CurrentSince May 1, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince May 16, 2016 Accepting new patients
Musc Community Physicians Current Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Jan 1, 2014 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2023 Accepting new patients
Musc Community Physicians CurrentSince May 1, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince May 16, 2016 Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Jun 1, 2018 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Carolina Anesthesiology, PA Anesthesiology Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

724 Thomas St
Asheboro, NC 27203
Phone (336) 308-0155

82 Patton Ave
Ste 510
Asheville, NC 28801
Phone (828) 210-9386

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Ste A220
Florence, SC 29505
Phone (803) 664-9393

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1447235304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COMMERCE DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015214",
            "telephone_number": "914-637-3510",
            "fax_number": "914-819-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WESTERN BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062148",
            "telephone_number": "919-832-3432",
            "fax_number": "919-832-3305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 W Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600508409",
            "country_code": "US",
            "telephone_number": "815-344-5000",
            "fax_number": "815-344-3347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "LISA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9401068",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036167627",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "9401068",
            "primary": true
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NC",
            "license": "9401068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8982439",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "TESTA",
            "middle_name": "D.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.