ANNA C LYSIAK M.D.
NPI 1215054192
Internal Medicine in Philadelphia, PA

Active since March 23, 2007PECOS Enrolled
8001 ROOSEVELT BLVD, SUITE 303, PHILADELPHIA, PA 19152(215) 332-9880(215) 332-9880 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anna C Lysiak M.d. NPPES

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

ANNA C LYSIAK M.D. (NPI 1215054192) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD038516L) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215054192
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANNA C LYSIAKCredential: M.D.
Location Address8001 ROOSEVELT BLVD, SUITE 303Philadelphia, PA 19152-3038
Mailing Address8001 Roosevelt Blvd, Suite 303Philadelphia, PA 19152-3038 · (215) 332-9880 · Fax (215) 332-9880
Fax(215) 332-9880
Sole ProprietorYes
Enumeration DateMarch 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1215054192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD038516L
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.
8001 ROOSEVELT BLVD, Philadelphia, PA 19152

Other Identifiers 7

Other07089PA · Health Partners
Medicare UPIND70015PA
Medicaid0009532460001PA
Other47998PA · Keystone Mercy
Medicare ID-Type UnspecifiedLY103864PA
Other07089PA · Senior Partners
Other0054209001PA · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Anna C Lysiak M.d. 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 19152 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Counselor (Mental Health)
8001 ROOSEVELT BLVD, SUITE 205-207
PHILADELPHIA, PA 19152
Obstetrics & Gynecology (Gynecology)
8001 ROOSEVELT BLVD, SUITE 500
PHILADELPHI, PA 19152
Radiology (Diagnostic Radiology)
8001 ROOSEVELT BLVD
PHILADELPHIA, PA 19152
Internal Medicine (Cardiovascular Disease)
8001 ROOSEVELT BLVD, SUITE 403
PHILADELPHIA, PA 19152
Counselor (Mental Health)
8001 ROOSEVELT BLVD, SUITE 301
PHILADELPHIA, PA 19152
Dentist
8001 ROOSEVELT BLVD, SUITE # 503
PHILADELPHIA, PA 19152
Counselor (Mental Health)
8001 ROOSEVELT BLVD, 205-207
PHILADELPHIA, PA 19152
Dentist (General Practice)
8001 ROOSEVELT BLVD
PHILADELPHIA, PA 19152

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 Anna Lysiak's NPI number?

The NPI number for Anna Lysiak is 1215054192. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Anna Lysiak located?

Anna Lysiak practices at 8001 Roosevelt Blvd Suite 303, Philadelphia, PA 19152. The listed phone number is (215) 332-9880.

What is Anna Lysiak's specialty?

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

Is Anna Lysiak enrolled in Medicare?

Yes. Anna Lysiak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anna Lysiak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.