LISA SPACEK M.D.
NPI 1124055058
Internal Medicine - Infectious Disease in Philadelphia, PA

Active since June 27, 2006PECOS Enrolled
1015 CHESTNUT ST STE 1020, PHILADELPHIA, PA 19107(215) 955-7785(215) 923-9362 Get Directions Write a Review

NPPES record last updated: October 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Spacek M.d. NPPES

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

LISA SPACEK M.D. (NPI 1124055058) is an individual infectious disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD433099) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124055058
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameLISA SPACEKCredential: M.D.
Location Address1015 CHESTNUT ST STE 1020Philadelphia, PA 19107-4310
Mailing AddressPo Box 64264Baltimore, MD 21264-4264
Fax(215) 923-9362
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateOctober 25, 2017
NPI 1124055058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in PA · MD433099 Licensed in MD · D57907
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1015 CHESTNUT ST STE 1020, Philadelphia, PA 19107

Other Identifiers 3

Medicaid406954400MD
Medicare ID-Type UnspecifiedKR70L014MD
Medicare UPINI27097MD

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 Spacek M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Infectious Disease)
1015 CHESTNUT ST STE 1020
PHILADELPHIA, PA 19107
Internal Medicine (Infectious Disease)
1015 CHESTNUT ST STE 1020
PHILADELPHIA, PA 19107
Social Worker (Clinical)
1015 CHESTNUT ST STE 1020
PHILADELPHIA, PA 19107
Internal Medicine (Infectious Disease)
1015 CHESTNUT ST STE 1020
PHILADELPHIA, PA 19107
Social Worker (Clinical)
1015 CHESTNUT ST STE 1020
PHILADELPHIA, PA 19107
Internal Medicine (Infectious Disease)
1015 CHESTNUT ST STE 1020
PHILADELPHIA, PA 19107
Emergency Medicine
1015 CHESTNUT ST STE 1020
PHILADELPHIA, PA 19107
Marriage & Family Therapist
1015 CHESTNUT ST STE 1020
PHILADELPHIA, PA 19107

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 Spacek's NPI number?

The NPI number for Lisa Spacek is 1124055058. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Lisa Spacek located?

Lisa Spacek practices at 1015 Chestnut St Ste 1020, Philadelphia, PA 19107. The listed phone number is (215) 955-7785.

What is Lisa Spacek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Lisa Spacek enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Spacek was last updated on October 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.