NPIMap

Individual provider Active NPI

Lisa Akintilo, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1972995058
Registry record updated Oct 19, 2023
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Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
321094 Issued in NY
Practice address
240 E 38TH St FL 11
New York, NY 10016-2708
Phone
(212) 263-7019
Fax
(929) 455-9512
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 321094 NY Primary

Addresses

Primary practice location

240 E 38TH St FL 11
New York, NY 10016-2708

Mailing address

14 Wall St FL 9
New York, NY 10005-2178

Other practice location 1

222 E 41st St Fl 24
New York, NY 10017-6942
Phone (212) 263-7019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230824000060 NY Practitioner - Dermatology 4688921737 Reassigns benefits to 1 organization
I20260611002026 TX Practitioner - Dermatology 4688921737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

240 E 38TH St
New York, NY 10016-2708
Phone (212) 263-7300

Hospital & facility affiliations

  • Bellevue Hospital Center Hospital, New York, NY, CCN 330204
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions43
Skin biopsy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
321094NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
New York University Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients

Locations

240 E 38th St
New York, NY 10016
Phone (212) 263-6033

240 E 38th St
Fl 11
New York, NY 10016
Phone (212) 263-5015

222 E 41st St
Fl 24
New York, NY 10017
Phone (212) 263-5015

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: lakintilo853606@nychhc.direct-ci.com
  • Direct secure messaging: lakintilo299484@nyumc.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1972995058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WALL ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 38TH ST FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162708",
            "telephone_number": "212-263-7019",
            "fax_number": "929-455-9512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 E 41st St Fl 24",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176942",
            "country_code": "US",
            "telephone_number": "212-263-7019",
            "fax_number": "929-455-9512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKINTILO",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "321094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.