NATALIIA LYSA DDS
NPI 1154975068
Dentist in Berlin, CT
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nataliia Lysa Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nataliia Lysa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
BERLIN, CT 06037
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 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.
Where is Nataliia Lysa located?
Nataliia Lysa practices at 39 Webster Square Rd, Berlin, CT 06037. The listed phone number is (860) 828-3933.
What is Nataliia Lysa's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Nataliia Lysa enrolled in Medicare?
Yes. Nataliia Lysa is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nataliia Lysa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nataliia Lysa reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nataliia Lysa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nataliia Lysa accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Nataliia Lysa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 8 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.
# Nataliia Lysa, DDS · NPI 1154975068
Dentist provider in Berlin, Connecticut. Individual provider, active in the CMS NPPES registry since July 29, 2019.
## Identity
- **NPI:** 1154975068 (Entity type: Individual)
- **Enumerated:** July 29, 2019
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 12541 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 39 WEBSTER SQUARE RD, Berlin, CT 06037-2326
- **Phone:** (860) 828-3933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154975068) · Data from the CMS NPPES public registry.