Active NPI
Lisa L. Sarkis, N.P.
- Gerontology Nurse Practitioner
- Dorchester Center, MA
National Provider Identifier
1710071741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 202106
- Practice address
- 2100 Dorchester Ave
Dorchester Center, MA 02124-5615 - Phone
- (617) 296-4000
- Fax
- (617) 474-3856
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 202106 | MA | Primary |
Addresses
Primary practice location
2100 Dorchester Ave
Dorchester Center, MA 02124-5615
Mailing address
37 Alleyne St
West Roxbury, MA 02132-3601
Phone (617) 325-8047
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
93 Pond St
Sharon, MA 02067-2015
Phone (781) 784-9212
Hospital & facility affiliations
- Mass General Brigham Home Care, Inc
- Good Shepherd Community Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Care of Boston Management Corporation | Current | Accepting new patients | |
| Caritas Medical Group, Inc. | Past | Accepting new patients | |
| Southeast Anesthesia Assoc | Past | Accepting new patients | |
| Carney Medical Group | Past | Accepting new patients | |
| Boston Medical Group, PC | Past | Accepting new patients |
Locations
93 Pond St
Sharon, MA 02067
Phone (781) 784-9212
Interoperability endpoints
- lsarkis460077@direct.bilh.masshiway.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Needham, MA
- NPI 1437196359
-
- Pulmonary Disease Physician
- Dorchester Center, MA
- NPI 1538101191
-
- Specialist
- Brighton, MA
- NPI 1174513204
-
- Specialist
- Brighton, MA
- NPI 1326142704
-
- Anesthesiology Physician
- Dorchester Center, MA
- NPI 1891780078
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- Community Based Hospice Care Agency
- Newton, MA
- NPI 1053311514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710071741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 ALLEYNE ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021323601",
"telephone_number": "617-325-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 DORCHESTER AVE",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021245615",
"telephone_number": "617-296-4000",
"fax_number": "617-474-3856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARKIS",
"first_name": "LISA",
"middle_name": "L.",
"name_prefix": "Miss",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "202106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester Center, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.