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: July 19, 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
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

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

The NPI number assigned to this healthcare provider is 1205044948, enumerated as an "individual" on May 18, 2007.

The provider is located at 111 S 15TH ST #1604 PHILADELPHIA, PA 19102 and the phone number is (215) 681-2036.

Surgery with taxonomy code 208600000X.