Individual provider Active NPI

Malisa Siri Lester, M.D.

  • Diagnostic Radiology Physician
  • Louisville, KY
National Provider Identifier
1720306202
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036125590 Issued in IL
Practice address
200 E Chestnut St
Louisville, KY 40202-1831
Phone
(502) 585-1735
NPI assigned
May 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 262405 NY
Diagnostic Radiology Physician 2085R0202X 036125590 IL Primary
Diagnostic Radiology Physician 2085R0202X N0922 TX
Diagnostic Radiology Physician 2085R0202X 1720306202 NY

Addresses

Primary practice location

200 E Chestnut St
Louisville, KY 40202-1831

Mailing address

234 E. Gray Street
Suite 850
Louisville, KY 40202-1901
Phone (312) 823-8562

Other practice location 1

676 N Saint Clair St Ste 800
Chicago, IL 60611-2978
Phone (312) 695-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY, TN, MS, AR, MO6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20120220000947 IL Practitioner - Diagnostic Radiology 5991963134 Reassigns benefits to 1 organization
I20170816001803 KY Practitioner - Diagnostic Radiology 5991963134 Reassigns benefits to 1 organization
I20210908003772 TN Practitioner - Diagnostic Radiology 5991963134 Reassigns benefits to 1 organization
I20220104000783 MS Practitioner - Diagnostic Radiology 5991963134 Reassigns benefits to 1 organization
I20250403000988 AR Practitioner - Diagnostic Radiology 5991963134 Reassigns benefits to 1 organization
I20250801001036 MO Practitioner - Diagnostic Radiology 5991963134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Orthopaedic Group LLPGroup PAC ID 9335042811, 91 clinicians
Imaging Specialists PLLCGroup PAC ID 0143218560, 39 clinicians
Orthoarkansas PAGroup PAC ID 1456256031, 148 clinicians

Practice addresses (Care Compare)

1 S Keene St
Columbia, MO 65201-7199
Phone (573) 443-2402

3688 Veterans Memorial Dr
Suite 200
Hattiesburg, MS 39401-8246
Phone (601) 554-7400

750 Old Hickory Blvd
Suite 1 260
Brentwood, TN 37027-4528
Phone (615) 376-7500

800 Fair Park Blvd
Little Rock, AR 72204-1720
Phone (501) 500-3500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036125590ILMDDiagnostic Radiology Physician
1720306202NYMDDiagnostic Radiology Physician
262405NYMDDiagnostic Radiology Physician
N0922TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Orthopaedic Group, LLP CurrentSince Aug 1, 2025 Accepting new patients
Northwestern Medical Faculty Foundation Diagnostic Radiology CurrentSince Mar 5, 2012 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Brier Creek Imaging, LLC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Diagnostic Imaging Alliance of Louisville PSC Diagnostic Radiology CurrentSince Aug 1, 2017 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 5, 2012 Accepting new patients
Orthoarkansas, PA CurrentSince Mar 31, 2025 Accepting new patients
Southern Bone & Joint Specialists, PA CurrentSince Jan 1, 2022 Accepting new patients
Orthoarkansas, PA CurrentSince Mar 31, 2025 Accepting new patients
Southern Bone & Joint Specialists CurrentSince Jan 1, 2022 Accepting new patients
Columbia Orthopaedic Group, LLP CurrentSince Aug 1, 2025 Accepting new patients
Orthopaedic Center of Southern Illinois, LTD. Past Accepting new patients
Emergeortho PA Past Accepting new patients

Locations

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

800 Fair Park Blvd
Little Rock, AR 72204
Phone (501) 404-8007

Dept 5777
Carol Stream, IL 60122

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

676 N Saint Clair St
Ste 800
Chicago, IL 60611
Phone (312) 695-5753

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

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

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

234 E Gray St
Ste 850
Louisville, KY 40202

1 S Keene St
Columbia, MO 65201
Phone (573) 443-2402

1215 Highway 98 Byp
Columbia, MS 39429
Phone (601) 268-5070

3688 Veterans Memorial Dr
Ste 200
Hattiesburg, MS 39401
Phone (601) 554-7451

Interoperability endpoints

  • Direct secure messaging: malisa.lester.1@15749.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1273363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1720306202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E. GRAY STREET",
            "address_2": "SUITE 850",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021901",
            "telephone_number": "312-823-8562",
            "fax_number": "502-526-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021831",
            "telephone_number": "502-585-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "676 N Saint Clair St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112978",
            "country_code": "US",
            "telephone_number": "312-695-6222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESTER",
        "first_name": "MALISA",
        "middle_name": "SIRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-09",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "262405",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036125590",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N0922",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "1720306202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.