ALISA MO MD
NPI 1275987638
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Columbus, OH

Active since April 21, 2016PECOS Enrolled
700 CHILDRENS DR, COLUMBUS, OH 43205(614) 722-2000 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2026, Aug 1, 2017, Jul 29, 2017 and 1 more (4 updates tracked since 2017).

About Alisa Mo Md NPPES

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

ALISA MO MD (NPI 1275987638) is an individual neurology with special qualifications in child neurology provider in Columbus, Ohio, licensed in Massachusetts (291618) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1275987638
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameALISA MOCredential: MD
Location Address700 CHILDRENS DRColumbus, OH 43205-2664
Mailing Address300 Longwood Ave, Boston Children's HospitalBoston, MA 02115-5724 · (617) 355-6000
Sole ProprietorNo
Enumeration DateApril 21, 2016
Last NPPES UpdateMay 14, 20264 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1275987638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in MA · 291618✔ Licensed in OH · 35.154221
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
700 CHILDRENS DR, Columbus, OH 43205

Secondary Practice Locations 10

Location 1300 Longwood Ave, Boston Children's HospitalBoston, MA 02115-5724 · Phone (617) 355-6000
Location 2405 Butterfly Gardens DrColumbus, OH 43215-4985 · Phone (614) 722-2000
Location 3536 S Trimble RdMansfield, OH 44906-3418 · Phone (614) 722-2000
Location 46435 E Broad StColumbus, OH 43213-1507 · Phone (614) 722-2000
Location 55675 Venture DrDublin, OH 43017-2159 · Phone (614) 722-2000
Location 6555 S 18th StColumbus, OH 43205-2654 · Phone (614) 722-2000
Location 7584 County Line Rd WWesterville, OH 43082-7295 · Phone (614) 722-2000
Location 81611 27th StPortsmouth, OH 45662-6931 · Phone (614) 722-6200
Location 9455 Executive Campus DrWesterville, OH 43082-8870 · Phone (614) 722-2000
Location 10433 N Cleveland AveWesterville, OH 43082-8095 · Phone (614) 722-2000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisa Mo 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Alisa Mo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
Neurology with Special Qualifications in Child Neurology
300 LONGWOOD AVE, FEGAN 11
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 153 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43205 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pediatrics
700 CHILDRENS DR
COLUMBUS, OH 43205
Surgery
700 CHILDRENS DR, CCPR
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Nurse Practitioner (Pediatrics)
700 CHILDRENS DR
COLUMBUS, OH 43205

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 Alisa Mo's NPI number?

The NPI number for Alisa Mo is 1275987638. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Alisa Mo located?

Alisa Mo practices at 700 Childrens Dr, Columbus, OH 43205. The listed phone number is (614) 722-2000.

What is Alisa Mo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Alisa Mo enrolled in Medicare?

Yes. Alisa Mo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alisa Mo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Mo reassigns Medicare benefits to 3 organizations: Nationwide Children's Hospital (Columbus, OH), Pediatric Academic Association, Inc. (Columbus, OH) and C H Neurology Foundation Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alisa Mo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alisa Mo accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Alisa Mo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alisa Mo was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.