Individual provider Active NPI

Lisa Panzini, M.D.

  • Gastroenterology Physician
  • Westerly, RI
National Provider Identifier
1821132432
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD18660 Issued in RI
Practice address
45 Wells St
Westerly, RI 02891-2961
Phone
(203) 777-0304
Fax
(203) 401-4687
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301510000 MI
Gastroenterology Physician 207RG0100X DR.0070531 CO
Gastroenterology Physician 207RG0100X MD18660 RI Primary
Gastroenterology Physician 207RG0100X 030072 CT

Addresses

Primary practice location

45 Wells St
Westerly, RI 02891-2961

Mailing address

45 Wells St
Westerly, RI 02891-2961
Phone (401) 596-6000

Other practice location 1

601 John St Ste M-302
Kalamazoo, MI 49007-5357
Phone (269) 349-2266

Other identifiers 1

IdentifierTypeStateIssuer
001300722MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090428000162 CT Practitioner - GastroenterologyPractitioner - Internal Medicine 5597813709 Reassigns benefits to 1 organization
I20220818003544 RI Practitioner - Gastroenterology 5597813709 Reassigns benefits to 3 organizations
I20230714000832 MI Practitioner - Gastroenterology 5597813709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Yale University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Upper gastrointestinal (GI) endoscopy for acid reflux12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0070531COMDGastroenterology Physician
030072CTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc CurrentSince Sep 12, 2012 Accepting new patients
Affinity Physicians LLC CurrentSince Jan 23, 2025 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Sep 12, 2012 Accepting new patients
Prospect Chartercare Physicians, LLC Gastroenterology CurrentSince Jul 25, 2022 Accepting new patients
Bronson Methodist Hospital CurrentSince Aug 1, 2023 Accepting new patients
Affinity Physicians LLC. Current Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Past Accepting new patients
Saint Raphael Faculty Physicians Gastroenterology Past Accepting new patients
Women's Health of Westerly, LLC PastSince Sep 23, 2024 Accepting new patients

Locations

40 Temple St
Ste 4A
New Haven, CT 06510
Phone (203) 777-0304

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

99 Hawley Ln
Fl 3
Stratford, CT 06614
Phone (203) 502-4650

601 John St
Ste M-302
Kalamazoo, MI 49007
Phone (269) 276-0000

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

3304 Cooley Ct
Portage, MI 49024
Phone (269) 349-2266

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

1 Office Pkwy
East Providence, RI 02914
Phone (401) 270-7110

100 Dudley St
Providence, RI 02905
Phone (401) 274-2300

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

45 Wells St
Westerly, RI 02891
Phone (401) 348-0008

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

45 Wells St
Ste 104
Westerly, RI 02891
Phone (401) 348-0008

Interoperability endpoints

  • Direct secure messaging: lpanzini@cgc1052.srs-direct.com
  • Direct secure messaging: direct@direct.bronsonhg.org
  • Direct secure messaging: lisa.panzini.1@9000.direct.athenahealth.com

Organizations & group practices 9

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 1

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1821132432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912961",
            "telephone_number": "401-596-6000",
            "fax_number": "203-401-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912961",
            "telephone_number": "203-777-0304",
            "fax_number": "203-401-4687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 John St Ste M-302",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075357",
            "country_code": "US",
            "telephone_number": "269-349-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANZINI",
        "first_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301510000",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0070531",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "MD18660",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "030072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001300722",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.