Individual provider Active NPI

Lisa C Pellegrini, M.D.

  • Neurology Physician
  • Naperville, IL
National Provider Identifier
1801849161
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036099958 Issued in IL
Practice address
1250 N Mill St
Ste 100
Naperville, IL 60563-6304
Phone
(630) 646-8000
Fax
(630) 646-8007
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036099958 IL
Neurology Physician 2084N0400X 036099958 IL Primary

Addresses

Primary practice location

1250 N Mill St
Ste 100
Naperville, IL 60563-6304

Mailing address

1250 N Mill St
Ste 100
Naperville, IL 60563-6304
Phone (630) 646-8000

Other identifiers 2

IdentifierTypeStateIssuer
036099958 2MedicaidIL
2220936OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20041215000951 IL Practitioner - Psychiatry 9638136161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rush Medical College of Rush University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures Psychiatry CurrentSince Jul 1, 2006 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 6, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 6, 2023 Accepting new patients
Edward Health Ventures CurrentSince Jul 1, 2006 Accepting new patients
Edward Health Ventures Psychiatry Past Accepting new patients
Edward Health Ventures Psychiatry Past Accepting new patients
Naperville Psychiatric Ventures Past Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
App Health Group, Inc Past Accepting new patients
Edward Health Ventures Psychiatry Past Accepting new patients
Edward Health Ventures Past Accepting new patients
Edward Health Ventures Past Accepting new patients
Edward Health Ventures Past Accepting new patients
Advanced Psychiatric Perspectives, PLLC Psychiatry PastSince Oct 31, 2002 Accepting new patients
Edward Health Ventures Neurology Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

1250 N Mill St
Ste 100
Naperville, IL 60563
Phone (630) 355-6996

Interoperability endpoints

  • Direct secure messaging: lpellegrini15501@direct.edward.org

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1801849161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N MILL ST",
            "address_2": "STE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636304",
            "telephone_number": "630-646-8000",
            "fax_number": "630-646-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N MILL ST",
            "address_2": "STE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636304",
            "telephone_number": "630-646-8000",
            "fax_number": "630-646-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINI",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036099958",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036099958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099958 2",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2220936",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.