Lisa Marie Deranek, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35060402 Issued in OH

Practice address

15400 Pearl Rd Ste 238
Strongsville, OH 44136-6000

Phone

(440) 879-1108

NPI assigned

Aug 2, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Magis Emergency Medicine LLC

  • Emergency Medicine Physician
  • Parma, OH
  • NPI 1801287511
  NPD
• SLB Medical LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Fairlawn, OH
  • NPI 1780463794
  NPD
• Dayton Anesthesia & Pain Services, LLC

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1629401898
  NPD (past)
• Emergency Medicine Physicians of Wadsworth, LTD.

  • Emergency Medicine Physician
  • Wadsworth, OH
  • NPI 1184663114
  NPD (past)
• Medina Emergency Associates LTD

  • Emergency Medicine Physician
  • Medina, OH
  • NPI 1174525620
  NPD (past)
• Summa Emergency Associates

  • Emergency Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1639317944
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1942217070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 BEACON HILL DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818124",
            "telephone_number": "330-715-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 238",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366000",
            "telephone_number": "440-879-1108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442562170",
            "country_code": "US",
            "telephone_number": "330-654-1185",
            "fax_number": "330-654-9086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERANEK",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35060402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928125",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0528125",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheri Defranco, LPTA
• Clara M Degabriele
• Katherine Mary Deliman, OTR/L
• Dental Sleep Apnea Therapy Strongsville LLC
• Dentkos Endodontics, LLC
• Margarita Diaz, RN
• Helen M Dillon
• Discount Drug Mart Inc
• Discount Drug Mart Inc
• Docere Physicians Inc.

• Internal Medicine Physician in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.