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LISA O'DONOVAN MD
NPI 1194380949
Internal Medicine in Newington, CT

Active since May 07, 2019PECOS Enrolled
555 WILLARD AVE, NEWINGTON, CT 06111(866) 808-7921 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2023, May 7, 2019 (2 updates tracked since 2019).

About Lisa O'donovan Md NPPES

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

LISA O'DONOVAN MD (NPI 1194380949) is an individual internal medicine provider in Newington, Connecticut, licensed in Connecticut (70764) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194380949
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLISA O'DONOVANCredential: MD
Location Address555 WILLARD AVENewington, CT 06111-2631
Mailing Address555 Willard AveNewington, CT 06111-2631 · (866) 808-7921
Phone(866) 808-7921
Sole ProprietorNo
Enumeration DateMay 7, 2019
Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1194380949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 70764
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.
555 WILLARD AVE, Newington, CT 06111
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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 (PECOS)

Lisa O'donovan Md 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 06111 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

KAYLA GOMES PT, DPT, NCS
Physical Therapist
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (860) 666-6951
MR. DEVIN PATRICK PRAY NP-C
Nurse Practitioner (Primary Care)
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (860) 666-6951
DEPARTMENT OF VETERAN AFFAIRS
General Acute Care Hospital
555 WILLARD AVE, 2C-1147
NEWINGTON, CT 06111
Capitol Planning Region (860) 594-6353
DR. DONALD J CURRAN M.D.
Internal Medicine
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (860) 594-6393
DR. VINCENT ANDREW THOREN OD (OPTOMETRY)
Optometrist
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (203) 558-0119
LYNDA JAEGER COTA
Occupational Therapy Assistant
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (860) 594-6369
CHRISTINA A PLANTIER PA-C
Physician Assistant (Medical)
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (866) 808-7921
MAYA LEILA NASSER
Student in an Organized Health Care Education/Training Program
555 WILLARD AVE
NEWINGTON, CT 06111
Capitol Planning Region (860) 666-6951

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 O'donovan's NPI number?

The NPI number for Lisa O'donovan is 1194380949. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Lisa O'donovan located?

Lisa O'donovan practices at 555 Willard Ave, Newington, CT 06111. The listed phone number is (866) 808-7921.

What is Lisa O'donovan's specialty?

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

Is Lisa O'donovan enrolled in Medicare?

Yes. Lisa O'donovan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa O'donovan was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.