Lisa Faye Barrett, DO
Individual provider Active NPI Internal Medicine Physician · Philadelphia, PA
NPI 1497314637 · NPPES record last updated Jul 11, 2022
Key facts
- NPI
- 1497314637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- OS022267 (PA)
- Practice address
- 5501 Old York Rd
Philadelphia, PA 19141-3018 - Phone
- (215) 456-7000
- NPI assigned
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220809001392 | PA | Practitioner - Internal Medicine | 8729312251 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS022267 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Internal Medicine | Current |
Accepting new patients |
| Einstein Practice Plan Inc | Current |
Accepting new patients |
Locations
5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
5501 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 456-8220
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS022267 | PA | Yes |
Addresses
Primary practice location
5501 Old York Rd
Philadelphia, PA 19141-3018
Mailing address
101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-7000
Other practice location 1
245 N. 15th Street
6th floor, mail stop 427
Philadelphia, PA 19102
Phone (215) 762-7698
NPI Registry JSON
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1497314637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E OLNEY AVE STE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202470",
"telephone_number": "215-456-7000",
"fax_number": "215-456-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 OLD YORK RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413018",
"telephone_number": "215-456-7000"
}
],
"practiceLocations": [
{
"address_1": "245 N. 15th Street",
"address_2": "6th floor, mail stop 427",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19102",
"country_code": "US",
"telephone_number": "215-762-7698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRETT",
"first_name": "LISA",
"middle_name": "FAYE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS022267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Emma Rose Barrett
- Evee Barrett
- Jeffrey Scott Barrett
- Jenna Barrett
- John C Barrett
- Lucille Ann Barrett
- Megan Ann Barrett
- Michael Patrick Barrett
- Natalie Barrett
- Phillip Jackson Barrett
All providers in Philadelphia, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.