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DR. LISA MICHELLE HENRY-REID M.D.
NPI 1366740284
Pediatrics - Adolescent Medicine in Chicago, IL

Active since March 01, 2011PECOS Enrolled
1900 W POLK ST, ROOM 1111, CHICAGO, IL 60612(312) 864-3585(312) 864-9721 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 26, 2021, Aug 5, 2020 (2 updates tracked since 2020).

About Dr. Lisa Michelle Henry-reid M.d. NPPES

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

DR. LISA MICHELLE HENRY-REID M.D. (NPI 1366740284) is an individual adolescent medicine provider in Chicago, Illinois, licensed in Illinois (036073772) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366740284
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. LISA MICHELLE HENRY-REIDCredential: M.D.
Location Address1900 W POLK ST, ROOM 1111Chicago, IL 60612-3723
Mailing Address1900 W Polk St, Room 1111Chicago, IL 60612-3723 · (312) 864-3585 · Fax (312) 864-9721
Phone(312) 864-3585
Fax(312) 864-9721
Sole ProprietorNo
Enumeration DateMarch 1, 2011
Last NPPES UpdateApril 26, 20212 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1366740284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in IL · 036073772
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X · License 036-073772 (IL)
1900 W POLK ST, Chicago, IL 60612
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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)

Dr. Lisa Michelle Henry-reid 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 Henry-reid reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook County
0.1 mi
Family Medicine
605 S WOLCOTT AVE, SUITE 605
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1912063439 (312) 864-4649

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

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. CARMENCITA GARCIA SENSENG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-7561
DR. REBECCA BOWER-LEWIS M.D.
Emergency Medicine
1900 W POLK ST, SUITE 1053
CHICAGO, IL 60612
Cook County (312) 864-0060
JOHN STROGER JR. HOSPITAL OF THE COOK COUNTY
General Acute Care Hospital
1900 W POLK ST, DEPT OF EM 10TH FLOOR
CHICAGO, IL 60612
Cook County (312) 864-0060
SARAH AHMED CRNA
Nurse Anesthetist, Certified Registered
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-0452
MS. JENNIFER MARY DUFF APN
Nurse Practitioner (Pediatrics)
1900 W POLK ST, 1143
CHICAGO, IL 60612
Cook County (312) 864-4150
DR. MATTHEW Y RHEE M.D.
Emergency Medicine
1900 W POLK ST, DEPARTMENT OF EMERGENCY MEDICINE
CHICAGO, IL 60612
Cook County (312) 864-0062
IRENE STEPHANIE ALEXANDRA ALUEN METZNER M.D.
Internal Medicine
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-4462
DR. NIVA SHAKYA M.D.
Pediatrics
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-4505

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 Henry-reid's NPI number?

The NPI number for Lisa Henry-reid is 1366740284. It was assigned to this individual provider in the NPPES registry on March 1, 2011.

Where is Lisa Henry-reid located?

Lisa Henry-reid practices at 1900 W Polk St Room 1111, Chicago, IL 60612. The listed phone number is (312) 864-3585.

What is Lisa Henry-reid's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Lisa Henry-reid enrolled in Medicare?

Yes. Lisa Henry-reid is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Henry-reid's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Henry-reid reassigns Medicare benefits to Cook County (Chicago, IL). 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 Henry-reid'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 Henry-reid was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.