LISE ANN RAK M.D.
NPI 1215227582
Psychiatry & Neurology - Psychiatry in Los Altos, CA
About Lise Ann Rak M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISE ANN RAK M.D. (NPI 1215227582) is an individual psychiatry provider in Los Altos, California, licensed in California (G75845) and active in the NPI registry since April 2011. She has opted out of Medicare through February 29, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Lise Ann Rak M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2016 through February 29, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ALTOS, CA 94024
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 Lise Rak's NPI number?
The NPI number for Lise Rak is 1215227582. It was assigned to this individual provider in the NPPES registry on April 7, 2011.
Where is Lise Rak located?
Lise Rak practices at 851 Fremont Ave, Los Altos, CA 94024. The listed phone number is (650) 568-1296.
What is Lise Rak's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Lise Rak enrolled in Medicare?
No. Lise Rak has opted out of Medicare through February 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Lise Rak was last updated on April 7, 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.
# Lise Ann Rak, M.D. · NPI 1215227582
Psychiatry physician in Los Altos, California. Individual provider, active in the CMS NPPES registry since April 7, 2011.
## Identity
- **NPI:** 1215227582 (Entity type: Individual)
- **Enumerated:** April 7, 2011
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** G75845 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 851 FREMONT AVE, Los Altos, CA 94024-5698
- **Phone:** (650) 568-1296
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 29, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 7, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1215227582) · Data from the CMS NPPES public registry.