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DR. LISA J MOUDGILL MD
NPI 1205044948
Surgery in Philadelphia, PA

Active since May 18, 2007PECOS Enrolled
111 S 15TH ST, #1604, PHILADELPHIA, PA 19102(215) 681-2036 Get Directions Write a Review

NPPES record last updated: January 31, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa J Moudgill Md NPPES

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

DR. LISA J MOUDGILL MD (NPI 1205044948) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT186151) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205044948
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. LISA J MOUDGILLCredential: MD
Location Address111 S 15TH ST, #1604Philadelphia, PA 19102-2625
Mailing Address111 S 15th St, #1604Philadelphia, PA 19102-2625 · (215) 681-2036
Phone(215) 681-2036
Sole ProprietorNo
Enumeration DateMay 18, 2007
Last NPPES UpdateJanuary 31, 2011
✔ NPI 1205044948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in PA · MT186151✔ Licensed in PA · MD432152
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
111 S 15TH ST, Philadelphia, PA 19102
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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)

Dr. Lisa J Moudgill 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 19102 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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 Moudgill's NPI number?

The NPI number for Lisa Moudgill is 1205044948. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Lisa Moudgill located?

Lisa Moudgill practices at 111 S 15th St #1604, Philadelphia, PA 19102. The listed phone number is (215) 681-2036.

What is Lisa Moudgill's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Lisa Moudgill enrolled in Medicare?

Yes. Lisa Moudgill is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Moudgill was last updated on January 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.