DR. BRIAN ALLEN LISHAWA M.D.
NPI 1154334399
Internal Medicine in Traverse City, MI

Q: What is Brian Lishawa's NPI number?

The NPI number for Brian Lishawa is 1154334399. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Brian Lishawa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Lishawa was last updated on June 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment

1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 922-9270(231) 922-9271 Get Directions Write a Review

NPPES record last updated: June 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Brian Allen Lishawa M.d. NPPES

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

DR. BRIAN ALLEN LISHAWA M.D. (NPI 1154334399) is an individual internal medicine provider in Traverse City, Michigan, licensed in New York (L 246-127) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Vanderbilt University School Of Medicine (2009).

NPPES Registry Identity

NPI1154334399

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. BRIAN ALLEN LISHAWACredential: M.D.

Location Address1105 SIXTH STTraverse City, MI 49684-2345

Mailing AddressPo Box 107Traverse City, MI 49685-0107 · (231) 922-9270 · Fax (231) 922-9271

Phone(231) 922-9270

Fax(231) 922-9271

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2009

Enumeration DateAugust 15, 2006

Last NPPES UpdateJune 15, 2009

✔ NPI 1154334399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in NY · L 246-127✔ Licensed in MI · 4301093912

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License L 246-127 (NY), 4301093912 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1105 SIXTH ST, Traverse City, MI 49684

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Allen Lishawa M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547311508

PECOS Enrollment IDI20090702000265

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

26 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

EDWARD J WALSH MD

Radiology (Diagnostic Radiology)