LISA R. CHUN D.O.
NPI 1336394881
Neuromusculoskeletal Medicine & OMM in Indianapolis, IN

Active since November 25, 2008Opted out of Medicare · through Jan 30, 2028
3200 COLD SPRING RD, INDIANAPOLIS, IN 46222(317) 955-6296 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa R. Chun D.o. NPPES

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

LISA R. CHUN D.O. (NPI 1336394881) is an individual neuromusculoskeletal medicine & omm provider in Indianapolis, Indiana, licensed in Hawaii (DOS 918) and active in the NPI registry since November 2008. She has opted out of Medicare through January 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336394881
Entity TypeIndividualFemale
Primary Taxonomy204D00000X
Provider Legal NameLISA R. CHUNCredential: D.O.
Location Address3200 COLD SPRING RDIndianapolis, IN 46222-1960
Mailing Address6626 E 75th St, Ste 500Indianapolis, IN 46250-2805
Sole ProprietorNo
Enumeration DateNovember 25, 2008
Last NPPES UpdateApril 14, 2015
NPI 1336394881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
Licenses Licensed in HI · DOS 918 Licensed in IN · 02004296A
Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

3200 COLD SPRING RD, Indianapolis, IN 46222

Other Identifiers 5

Medicaid201207980IN
OtherP01424287IN · Rail Road Ptan
Medicare UPIN55122
Other235572Hmsa Legacy
Medicare PIN266180417IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Lisa R. Chun D.o. 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 January 30, 2026 through January 30, 2028.

Opt-Out Effective DateJanuary 30, 2026
Opt-Out In Effect ThroughJanuary 30, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Student in an Organized Health Care Education/Training Program
3200 COLD SPRING RD
INDIANAPOLIS, IN 46222
Student in an Organized Health Care Education/Training Program
3200 COLD SPRING RD
INDIANAPOLIS, IN 46222
Occupational Therapy Assistant
3200 COLD SPRING RD
INDIANAPOLIS, IN 46222
Student in an Organized Health Care Education/Training Program
3200 COLD SPRING RD
INDIANAPOLIS, IN 46222
Neuromusculoskeletal Medicine & OMM
3200 COLD SPRING RD
INDIANAPOLIS, IN 46222
Student in an Organized Health Care Education/Training Program
3200 COLD SPRING RD
INDIANAPOLIS, IN 46222
Specialist/Technologist (Athletic Trainer)
3200 COLD SPRING RD
INDIANAPOLIS, IN 46222
Specialist/Technologist (Athletic Trainer)
3200 COLD SPRING RD
INDIANAPOLIS, IN 46222

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 Chun's NPI number?

The NPI number for Lisa Chun is 1336394881. It was assigned to this individual provider in the NPPES registry on November 25, 2008.

Where is Lisa Chun located?

Lisa Chun practices at 3200 Cold Spring Rd, Indianapolis, IN 46222. The listed phone number is (317) 955-6296.

What is Lisa Chun's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Lisa Chun enrolled in Medicare?

No. Lisa Chun has opted out of Medicare through January 30, 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 Lisa Chun was last updated on April 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.