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LISA ANN RYNN M.D.
NPI 1306074760
Pediatrics in Philadelphia, PA

Active since June 24, 2009PECOS Enrolled
3601 A ST, OFFICE OF MEDICAL AND ACADEMIC AFFAIR, PHILADELPHIA, PA 19134(215) 427-5127(215) 427-4805 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Ann Rynn M.d. NPPES

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

LISA ANN RYNN M.D. (NPI 1306074760) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT196035) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306074760
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLISA ANN RYNNCredential: M.D.
Location Address3601 A ST, OFFICE OF MEDICAL AND ACADEMIC AFFAIRPhiladelphia, PA 19134-1043
Mailing Address4055 Ridge Ave, Apt 1305Philadelphia, PA 19129-1576 · (412) 720-7483
Phone(215) 427-5127
Fax(215) 427-4805
Sole ProprietorNo
Enumeration DateJune 24, 2009
✔ NPI 1306074760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MT196035
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3601 A ST, Philadelphia, PA 19134
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Ann Rynn 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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Rynn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Connecticut Children's Specialty Group, Inc.
176 mi
Pediatrics
282 WASHINGTON ST
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 601 clinicians in this Medicare group
NPI 1669448882 (860) 545-9000

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 19134 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
$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.

DR. JENNIFER ELIZABETH TINGO M.D.
Pediatrics (Pediatric Cardiology)
3601 A ST, SCHC PEDIATRIC ASSOCIATES, LLC
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
MEGAN ELIZABETH GRESH M.D.
Orthopaedic Surgery
3601 A ST
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
EVAN GELLER MD
Radiology (Pediatric Radiology)
3601 A ST
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5230
VINEETHA ANN ALIAS D.O.
Pediatrics
3601 A ST
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5553
KIMBERLY BETH FULD D.O.
Pediatrics (Pediatric Endocrinology)
3601 A ST, SECTION OF ENDOCRINOLOGY
PHILADELPHIA, PA 19134
Philadelphia County (610) 564-3272
DR. MADAN MOHAN HEDE MD
Pediatrics
3601 A ST
PHILADELPHIA, PA 19134
Philadelphia County (216) 427-5170
PHILADELPHIA HEALTH AND EDUCATION CORP
Pediatrics (Adolescent Medicine)
3601 A ST, NELSON PAVILLION, 2ND FLOOR, FAMILY PLANNING
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-4871
DR. YESHA HEMANT PATEL M.D.
Pediatrics
3601 A ST
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5127

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 Rynn's NPI number?

The NPI number for Lisa Rynn is 1306074760. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Lisa Rynn located?

Lisa Rynn practices at 3601 A St Office Of Medical And Academic Affair, Philadelphia, PA 19134. The listed phone number is (215) 427-5127.

What is Lisa Rynn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lisa Rynn enrolled in Medicare?

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

Which organization bills Medicare for Lisa Rynn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Rynn reassigns Medicare benefits to Connecticut Children's Specialty Group, Inc. (Hartford, CT). The 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 Lisa Rynn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Rynn was last updated on June 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.