Lezlie J Painovich, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

47928-021 Issued in WI

Practice address

333 East Campus Mall Uhs Uw-Madison
Madison, WI 53715-1381

Phone

(608) 265-5600

Fax

(608) 263-6884

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Provena Service Corporation

  • Family Medicine Physician
  • Danville, IL
  • NPI 1134314602
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1922058205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 EAST CAMPUS MALL UHS UW-MADISON",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151381",
            "telephone_number": "608-265-5600",
            "fax_number": "608-263-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EAST CAMPUS MALL UHS UW-MADISON",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151381",
            "telephone_number": "608-265-5600",
            "fax_number": "608-263-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINOVICH",
        "first_name": "LEZLIE",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "47928-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "60390",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS",
            "identifier": "2018769",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43519800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Alec Pagni
• Michelle Anne Pagoaga, RN
• Deepa R Pai, M.D., M.H.S.A.
• Pain Physicians of Wisconsin, SC
• Pain Physicians of Wisconsin, SC
• Karyn Paisley, MS, LPC
• Amanda M Pajerski, OTR
• Mary H Pak, MD
• Trina Pal, MD
• Eduardo Pallares, PHARMD

• Family Medicine Physician in Madison, WI
• Providers in Madison, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.

Verify at the official NPI Registry.