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ROBERT RUDOLPH LISAC MD
NPI 1033613823
Pediatrics - Pediatric Hematology-Oncology in Atlanta, GA

Active since March 19, 2018PECOS Enrolled
2015 UPPERGATE DR #400, ATLANTA, GA 30322(404) 778-4834 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2021, Oct 22, 2019, Mar 19, 2018 (3 updates tracked since 2018).

About Robert Rudolph Lisac Md NPPES

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

ROBERT RUDOLPH LISAC MD (NPI 1033613823) is an individual pediatric hematology-oncology provider in Atlanta, Georgia, licensed in Georgia (88026) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033613823
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameROBERT RUDOLPH LISACCredential: MD
Location Address2015 UPPERGATE DR #400Atlanta, GA 30322-6511
Mailing Address2015 Uppergate Dr #400Atlanta, GA 30322-0001 · (404) 778-4834
Phone(404) 778-4834
Sole ProprietorNo
Enumeration DateMarch 19, 2018
Last NPPES UpdateMay 30, 20243 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1033613823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in GA · 88026
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Rudolph Lisac Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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. TARUN JAIN M.D.
Internal Medicine (Medical Oncology)
2015 UPPERGATE DR #400
ATLANTA, GA 30322
Dekalb County (404) 778-4834
ALEXANDRA CATHCART MD
Pediatrics
2015 UPPERGATE DR #400
ATLANTA, GA 30322
Dekalb County (404) 778-4834

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 Robert Lisac's NPI number?

The NPI number for Robert Lisac is 1033613823. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Robert Lisac located?

Robert Lisac practices at 2015 Uppergate Dr #400, Atlanta, GA 30322. The listed phone number is (404) 778-4834.

What is Robert Lisac's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Robert Lisac enrolled in Medicare?

Yes. Robert Lisac is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Lisac was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.