NATALIIA LYSA DDS - NPI 1154975068 - Dentist in Berlin, CT

Q: What is Nataliia Lysa's NPI number?

The NPI number for Nataliia Lysa is 1154975068. It was assigned to this individual provider in the NPPES registry on July 29, 2019. The provider is also known as Nataliia Zaskotska.

Q: What is Nataliia Lysa's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Nataliia Lysa was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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About Nataliia Lysa Dds NPPES

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

NATALIIA LYSA DDS (NPI 1154975068) is an individual dentist in Berlin, Connecticut, licensed in Connecticut (12541) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154975068

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameNATALIIA LYSACredential: DDS

Location Address39 WEBSTER SQUARE RDBerlin, CT 06037-2326

Mailing Address573 George St Apt 3New Haven, CT 06511-5371 · (203) 214-9707

Phone(860) 828-3933

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 29, 2019

Last NPPES UpdateFebruary 24, 2026

NPPES CertifiedFebruary 24, 2026

✔ NPI 1154975068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CT · 12541

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019036322 (IL)

39 WEBSTER SQUARE RD, Berlin, CT 06037

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Other Names 1

Former Name (1)Nataliia Zaskotska

Secondary Practice Location 1

Location 1676 N Saint Clair St Ste 520Chicago, IL 60611-2982 · Phone (312) 926-5992 · Fax (312) 695-4303

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian, Renaissance Dental.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nataliia Lysa Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628553922

PECOS Enrollment IDI20260403000356

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 06037 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

Most-billed visit code 99213

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 5

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

DR. MICHAEL MAROON D.M.D.

Dentist (General Practice)