DR. LISA B CASSILETH MD
NPI 1407858459
Specialist in Beverly Hills, CA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since August 10, 2005Opted out of Medicare · through Apr 15, 2027

436 N BEDFORD DR, #103, BEVERLY HILLS, CA 90210(310) 278-8200(310) 278-8230 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Lisa B Cassileth Md NPPES

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

DR. LISA B CASSILETH MD (NPI 1407858459) is an individual specialist in Beverly Hills, California and active in the NPI registry since August 2005. She has opted out of Medicare through April 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407858459

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. LISA B CASSILETHCredential: MD

Location Address436 N BEDFORD DR, #103Beverly Hills, CA 90210-4310

Mailing Address436 N Bedford Dr, #103Beverly Hills, CA 90210-4310 · (310) 278-8200 · Fax (310) 278-8230

Phone(310) 278-8200

Fax(310) 278-8230

Sole ProprietorNo

Enumeration DateAugust 10, 2005

Last NPPES UpdateJuly 9, 2007

✔ NPI 1407858459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

436 N BEDFORD DR, Beverly Hills, CA 90210

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Other Identifiers 3

Medicare UPINH90905CA

Medicare PINA81706CA

Medicaid00A817060CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Lisa B Cassileth Md 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 April 15, 2019 through April 15, 2027.

Opt-Out Effective DateApril 15, 2019

Opt-Out In Effect ThroughApril 15, 2027Opt-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.