LISA M GRIMALDI MD
NPI 1447319306
Pediatrics - Pediatric Critical Care Medicine in Phoenix, AZ

Q: What is Lisa Grimaldi's NPI number?

The NPI number for Lisa Grimaldi is 1447319306. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Q: What is Lisa Grimaldi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Grimaldi was last updated on October 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 07, 2006PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1784(602) 933-1785 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 30, 2018, May 15, 2018, May 3, 2018 (3 updates tracked since 2018).

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About Lisa M Grimaldi Md NPPES

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

LISA M GRIMALDI MD (NPI 1447319306) is an individual pediatric critical care medicine provider in Phoenix, Arizona, licensed in Arizona (36853) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447319306

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameLISA M GRIMALDICredential: MD

Location Address1919 E THOMAS RDPhoenix, AZ 85016

Mailing Address3200 E Camelback Rd, Ste 250Phoenix, AZ 85018-2327 · (602) 933-1813

Phone(602) 933-1784

Fax(602) 933-1785

Sole ProprietorNo

Enumeration DateDecember 7, 2006

Last NPPES UpdateOctober 30, 20183 updates tracked since enumeration

✔ NPI 1447319306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in AZ · 36853✔ Licensed in NJ · 25MA07959500✔ Licensed in DE · C10012364

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1919 E THOMAS RD, Phoenix, AZ 85016

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Other Identifiers 2

Medicaid0074624NJ

Medicaid250387785DE

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 M Grimaldi Md 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.

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. TIMUR RAGHIB M.D.

Hospitalist