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LISA QIU DO
NPI 1023577343
Pediatrics - Pediatric Emergency Medicine in Minneapolis, MN

Active since March 16, 2019PECOS Enrolled
2450 RIVERSIDE AVE # AO-301, MINNEAPOLIS, MN 55454(612) 625-6678 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Apr 1, 2025, Mar 16, 2019 (3 updates tracked since 2019).

About Lisa Qiu Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA QIU DO (NPI 1023577343) is an individual pediatric emergency medicine provider in Minneapolis, Minnesota, licensed in Minnesota (78398) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023577343
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameLISA QIUCredential: DO
Location Address2450 RIVERSIDE AVE # AO-301Minneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave # Ao-301Minneapolis, MN 55454-1450 · (612) 625-6678
Phone(612) 625-6678
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 16, 2019
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1023577343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MN · 78398
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
2450 RIVERSIDE AVE # AO-301, Minneapolis, MN 55454
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Qiu Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991184558
PECOS Enrollment IDI20250701002258, I20251118001224
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOUNIKA MUTTINENI DO
Pediatrics
2450 RIVERSIDE AVE # AO-301
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-7422
DR. WALID MAALOULI M.D.
Pediatrics (Adolescent Medicine)
2450 RIVERSIDE AVE # AO-301
MINNEAPOLIS, MN 55454
Hennepin County (612) 626-5451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Qiu's NPI number?

The NPI number for Lisa Qiu is 1023577343. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Where is Lisa Qiu located?

Lisa Qiu practices at 2450 Riverside Ave # Ao-301, Minneapolis, MN 55454. The listed phone number is (612) 625-6678.

What is Lisa Qiu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Lisa Qiu enrolled in Medicare?

Yes. Lisa Qiu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Qiu was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.