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LISA MANITTA
NPI 1326889478
Internal Medicine in Philadelphia, PA

Active since June 03, 2024PECOS Enrolled
3401 N BROAD ST STE C525, PHILADELPHIA, PA 19140(215) 707-6400 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Manitta NPPES

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

LISA MANITTA (NPI 1326889478) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT230665) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326889478
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLISA MANITTA
Location Address3401 N BROAD ST STE C525Philadelphia, PA 19140-5103
Mailing Address3401 N Broad St Ste C525Philadelphia, PA 19140-5103
Phone(215) 707-6400
Sole ProprietorNo
Enumeration DateJune 3, 2024
NPPES CertifiedJune 3, 2024
✔ NPI 1326889478 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 · MT230665
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.
3401 N BROAD ST STE C525, Philadelphia, PA 19140
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Manitta 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 19140 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.

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 Manitta's NPI number?

The NPI number for Lisa Manitta is 1326889478. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Lisa Manitta located?

Lisa Manitta practices at 3401 N Broad St Ste C525, Philadelphia, PA 19140. The listed phone number is (215) 707-6400.

What is Lisa Manitta's specialty?

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

Is Lisa Manitta enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Manitta was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.