Individual provider Active NPI

Ivan Lesyuk, MD/DO

  • Anesthesiology Physician
  • Lawrence, MA
National Provider Identifier
1790978484
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
247311 Issued in MA
Practice address
1 General St
Lawrence, MA 01841-2961
Phone
(978) 683-4000
NPI assigned
Aug 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 247311 MA Primary

Addresses

Primary practice location

1 General St
Lawrence, MA 01841-2961

Mailing address

4 Martin Rd
Apt.190302
Middleton, MA 01949-1011
Phone (978) 208-1453

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
I20110711000125 MA Practitioner - Anesthesiology 6305024654 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerson Practice Associates II, IncGroup PAC ID 4183765191, 50 clinicians
North American Partners in Anesthesia Massachusetts LLCGroup PAC ID 8820350713, 37 clinicians
Lowell Anesthesiology Service IncGroup PAC ID 3072556141, 98 clinicians

Practice addresses (Care Compare)

133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-8480

300 C Faunce Corner Rd
Dartmouth, MA 02747-1257
Phone (508) 679-3131

33 Bartlett St
Suite 203
Lowell, MA 01852-1317
Phone (978) 689-4601

Hospital & facility affiliations

  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dha Endoscopy LLC CurrentSince Apr 14, 2020 Accepting new patients
Lowell Anesthesiology Service, Inc. Anesthesiology CurrentSince Apr 27, 2025 Accepting new patients
Dha Endoscopy LLC Anesthesiology CurrentSince Apr 14, 2020 Accepting new patients
Lowell Anesthesia Associates PLLC CurrentSince Jan 21, 2020 Accepting new patients
Emerson Practice Associates II, Inc. CurrentSince Sep 30, 2021 Accepting new patients
North American Partners in Anesthesia Massachusetts LLC Anesthesiology CurrentSince Nov 9, 2020 Accepting new patients
Gbaa Holdings, PLLC Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients

Locations

45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

33 Bartlett St
Ste 203
Lowell, MA 01852
Phone (978) 689-4601

59 Lowes Way
Lowell, MA 01851
Phone (617) 733-4166

300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683

91 Montvale Ave
Ste 103
Stoneham, MA 02180
Phone (781) 835-2111

175 Worcester St
Wellesley Hls, MA 02481
Phone (617) 272-0004

120 W Center St
West Bridgewater, MA 02379
Phone (508) 230-8181

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1790978484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MARTIN RD",
            "address_2": "APT.190302",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019491011",
            "telephone_number": "978-208-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412961",
            "telephone_number": "978-683-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESYUK",
        "first_name": "IVAN",
        "credential": "MD/DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-25",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "247311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.