Individual provider Active NPI

Lisa Robin Diller, MD

  • Pediatric Hematology & Oncology Physician
  • Boston, MA
National Provider Identifier
1497773923
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
59684 Issued in MA
Practice address
44 Binney Street
300 Longwood Avenue
Boston, MA 02115
Phone
(617) 632-5642
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 59684 MA Primary

Addresses

Primary practice location

44 Binney Street
300 Longwood Avenue
Boston, MA 02115

Mailing address

44 Binney Street
D 1646
Boston, MA 02115
Phone (617) 632-5642

Other identifiers 10

IdentifierTypeStateIssuer
J10214OtherBCBS OF MA
6563998OtherCIGNA
J10214OtherHMO BLUE
23287OtherFALLON COMM HEALTH PLAN
E54937DFOtherHPHC DFCI ONLY
J10214OtherINDEMNITY
J10214OtherBC ELECT
059684OtherTUFTS
2927582OtherAETNA US HEALTHCARE
3082431OtherMASSHEALTH MA MEDICAID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000223 MA Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 8022055011 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince Dec 16, 2010 Accepting new patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients
Children'S Hospital Pediatric Associates, Inc Pediatric Hematology-Oncology CurrentSince Jan 23, 2013 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Dec 16, 2010 Accepting new patients

Locations

44 Binney St
#1646
Boston, MA 02115

450 Brookline Ave
#3131
Boston, MA 02215

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

44 Binney St
Boston, MA 02115
Phone (617) 632-3591

Interoperability endpoints

  • Direct secure messaging: diller.lisa.dfci@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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497773923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BINNEY STREET",
            "address_2": "D 1646",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-632-5642",
            "fax_number": "617-582-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BINNEY STREET",
            "address_2": "300 LONGWOOD AVENUE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-632-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLER",
        "first_name": "LISA",
        "middle_name": "ROBIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MA",
            "license": "59684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "J10214",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6563998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "J10214",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMM HEALTH PLAN",
            "identifier": "23287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC  DFCI ONLY",
            "identifier": "E54937DF",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEMNITY",
            "identifier": "J10214",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC ELECT",
            "identifier": "J10214",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "059684",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2927582",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH  MA MEDICAID",
            "identifier": "3082431",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.