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DR. LISA SIRIPUN M.D.
NPI 1164620050
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
601 ELMWOOD AVE, BOX 648, ROCHESTER, NY 14642(585) 275-1128(585) 273-3549 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa Siripun M.d. NPPES

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

DR. LISA SIRIPUN M.D. (NPI 1164620050) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1164620050
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. LISA SIRIPUNCredential: M.D.
Location Address601 ELMWOOD AVE, BOX 648Rochester, NY 14642-8648
Mailing Address601 Elmwood Ave, Box 648Rochester, NY 14642-8648 · (585) 275-1128 · Fax (585) 273-3549
Phone(585) 275-1128
Fax(585) 273-3549
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 3, 2007
Last NPPES UpdateDecember 15, 2021
✔ NPI 1164620050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
601 ELMWOOD AVE, Rochester, NY 14642
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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. Lisa Siripun 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 ID547415028
PECOS Enrollment IDI20130307000260
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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
27 services23 patients

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.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

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 Siripun's NPI number?

The NPI number for Lisa Siripun is 1164620050. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Lisa Siripun located?

Lisa Siripun practices at 601 Elmwood Ave Box 648, Rochester, NY 14642. The listed phone number is (585) 275-1128.

What is Lisa Siripun's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lisa Siripun enrolled in Medicare?

Yes. Lisa Siripun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Siripun was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.