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DR. LISA MARIE COLOSIMO D.O.
NPI 1356640718
Anesthesiology - Critical Care Medicine in Orange, CA

Active since March 23, 2011PECOS EnrolledAccepts Medicare Assignment
101 THE CITY DR S, ORANGE, CA 92868(714) 880-7812 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2022, Mar 24, 2017 (2 updates tracked since 2017).

About Dr. Lisa Marie Colosimo D.o. NPPES

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

DR. LISA MARIE COLOSIMO D.O. (NPI 1356640718) is an individual critical care medicine provider in Orange, California, licensed in Michigan (5101019287) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1356640718
Entity TypeIndividualFemale
Primary Taxonomy207LC0200X
Provider Legal NameDR. LISA MARIE COLOSIMOCredential: D.O.
Location Address101 THE CITY DR SOrange, CA 92868-3201
Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-2986
Phone(714) 880-7812
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 23, 2011
Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
✔ NPI 1356640718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License✔ Licensed in MI · 5101019287
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
101 THE CITY DR S, Orange, CA 92868
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Secondary Practice Location 1

Location 12799 W Grand BlvdDetroit, MI 48202-2608 · Phone (313) 460-1985

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa Marie Colosimo D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749412609
PECOS Enrollment IDI20191212002307, I20200113002646
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.

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. ANKIT BHUPENDRA PATEL D.O.
Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-5113
DR. LAURA CATHERINE SKOCZYLAS MD
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Orange County (714) 456-8224
MICHAEL CHENG DO
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7110
AESTHETIC AND PLASTIC SURGERY INSTITUTE
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-2986
JOSEPH VILLARREAL M.D.
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Orange County (714) 456-5239
DEMI TRAN
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Orange County (171) 456-6693
DR. ISABEL CARLTON CLARK M.D.
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7890
DYLAN LUKATO
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868
Orange County (415) 218-8041

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 Colosimo's NPI number?

The NPI number for Lisa Colosimo is 1356640718. It was assigned to this individual provider in the NPPES registry on March 23, 2011.

Where is Lisa Colosimo located?

Lisa Colosimo practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 880-7812.

What is Lisa Colosimo's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Lisa Colosimo enrolled in Medicare?

Yes. Lisa Colosimo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Colosimo was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.