Active NPI
Lisa Anne Nemes, MD
- Pediatrics Physician
- Bloomfield Hills, MI
National Provider Identifier
1871087577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301115202
- Practice address
- 1245 Robson LN
Bloomfield Hills, MI 48304-1536 - Phone
- (248) 909-0648
- NPI assigned
- Jun 18, 2018
- Last updated
- May 29, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4351028274 | MI | |
| Pediatrics Physician | 208000000X | 4301115202 | MI | Primary |
Addresses
Primary practice location
1245 Robson LN
Bloomfield Hills, MI 48304-1536
Mailing address
1245 Robson LN
Bloomfield Hills, MI 48304-1536
Phone (248) 909-0648
Other names 1
- Dr. Lisa Anne Vitello
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lisa.vitello@beaumont.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351028274 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SJMH Medical Practice-SMHC | Pediatrics | Current | Accepting new patients |
| SJMH Medical Practice-SMHC | Current | Accepting new patients | |
| St Joseph Mercy Hospital-SMHC | Past | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000
Interoperability endpoints
- lisa.vitello@beaumont.org
- lnemes1766991@direct.trinity-health.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Waterford, MI
- NPI 1366644551
-
dba St Joseph Mercy Oakland
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622246400000",
"number": "1871087577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 ROBSON LN",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483041536",
"telephone_number": "248-909-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 ROBSON LN",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483041536",
"telephone_number": "248-909-0648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMES",
"first_name": "LISA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2021-05-29",
"certification_date": "2021-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4351028274",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301115202",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Lisa.vitello@beaumont.org",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3535 W 13 Mile Rd",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LISA",
"last_name": "VITELLO",
"middle_name": "ANNE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bloomfield Hills, MI
- Natasha Kendal PHD PLLC
- Paula Maria Nault
- Olimpia Neagoe, MA CSW LLP CACI
- Stefan Nedelea, P.T.
- Mark L Nelson, MD
- Neonatology & Inpatient Pediatrics, Inc
- Neuro Pain Consultants PC (Neuro Surgical Consultants Pain Care Associates Center for Integrate)
- Neuro Pain Consultants PC (Pain Care Associates)
- Neurodiagnostic & Sleep Disorder Center NSD PC
- Neurodiagnostic & Sleep Disorder Center NSD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.