NPIMap

Individual provider Active NPI

Liza Meyerhardt, MD

  • Internal Medicine Physician
  • Needham, MA
National Provider Identifier
1962507426
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA217202 Issued in MA
Practice address
1450 Highland Ave
Needham, MA 02492-2690
Phone
(781) 449-0020
Fax
(781) 449-3181
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA217202 MA Primary

Addresses

Primary practice location

1450 Highland Ave
Needham, MA 02492-2690

Mailing address

1450 Highland Ave
Needham, MA 02492-2690
Phone (781) 449-0020

Other identifiers 6

IdentifierTypeStateIssuer
5787289OtherMACIGNA
2016940MedicaidMA
AA12959OtherMAHARVARD PILGRIM
J26592OtherMABLUESHIELD
0408917OtherMAUNITED HEALTHCARE
217202OtherMATUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831000859 MA Practitioner - Internal Medicine 4486629631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Yale University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1450 Highland Ave
Suite 2
Needham, MA 02492-2695
Phone (781) 449-6742

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA217202MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Wellesley Primary Care P C Internal Medicine Current Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Jun 1, 2015 Accepting new patients
Newton Wellesley Ambulatory Services PastSince Jun 1, 2015 Accepting new patients

Locations

1450 Highland Ave
Needham, MA 02492
Phone (781) 449-0020

1450 Highland Ave
Ste 2
Needham, MA 02492
Phone (781) 444-3083

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

Interoperability endpoints

  • Direct secure messaging: meyerhardt.liza.nwh@direct.partners.masshiway.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Newton-Wellesley HospitalNewton, MA, CCN 220101 Hospital Corporate Director Jul 1, 2019
Newton Wellesley HospitalNewton, MA, CCN 22S101 Hospital Corporate Officer Jul 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 10

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962507426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922690",
            "telephone_number": "781-449-0020",
            "fax_number": "781-449-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922690",
            "telephone_number": "781-449-0020",
            "fax_number": "781-449-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERHARDT",
        "first_name": "LIZA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "MA217202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5787289",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016940",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA12959",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "J26592",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0408917",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "217202",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.