DR. LIDIELISA MATOS MORALES MD
NPI 1467143677
Internal Medicine in Grand Blanc, MI

Q: What is Lidielisa Matos Morales's NPI number?

The NPI number for Lidielisa Matos Morales is 1467143677. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Q: What is Lidielisa Matos Morales's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 18, 2023PECOS Enrolled

1 GENESYS PKWY, GRAND BLANC, MI 48439(810) 606-5000 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Lidielisa Matos Morales Md NPPES

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

DR. LIDIELISA MATOS MORALES MD (NPI 1467143677) is an individual internal medicine provider in Grand Blanc, Michigan, licensed in Michigan (4351050981) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467143677

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. LIDIELISA MATOS MORALESCredential: MD

Location Address1 GENESYS PKWYGrand Blanc, MI 48439-8065

Mailing Address1 Genesys PkwyGrand Blanc, MI 48439-8065 · (810) 606-5000

Phone(810) 606-5000

Sole ProprietorYes

Enumeration DateMay 18, 2023

NPPES CertifiedMay 18, 2023

✔ NPI 1467143677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4351050981

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1 GENESYS PKWY, Grand Blanc, MI 48439

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lidielisa Matos Morales 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48439 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ILONA CROWDER COTA/L

Occupational Therapy Assistant