Active NPI
Lisa A. Planeta, M.D.
- Family Medicine Physician
- Chicopee, MA
National Provider Identifier
1770534844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 79242
- Practice address
- 444 Montgomery St
Chicopee, MA 01020-1969 - Phone
- (413) 594-3111
- Fax
- (413) 789-8048
- NPI assigned
- May 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 79242 | MA | |
| Family Medicine Physician | 207Q00000X | 79242 | MA | Primary |
Addresses
Primary practice location
444 Montgomery St
Chicopee, MA 01020-1969
Mailing address
444 Montgomery St
Chicopee, MA 01020-1969
Phone (413) 594-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3189597 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverbend Medical Group, Inc | Past | Accepting new patients | |
| Mwa, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Chicopee, MA
- NPI 1427280791
-
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1639280779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1770534844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 MONTGOMERY ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201969",
"telephone_number": "413-594-3111",
"fax_number": "413-789-8048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 MONTGOMERY ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201969",
"telephone_number": "413-594-3111",
"fax_number": "413-789-8048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLANETA",
"first_name": "LISA",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-13",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "79242",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "79242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3189597",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.