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LISSETTE E. TIRADO D.P.M.
NPI 1508866765
Podiatrist in Lilburn, GA

Active since July 28, 2005PECOS Enrolled
625 BEAVER RUIN RD NW, SUITE C, LILBURN, GA 30047(770) 935-4443(770) 935-4475 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lissette E. Tirado D.p.m. NPPES

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

LISSETTE E. TIRADO D.P.M. (NPI 1508866765) is an individual podiatrist in Lilburn, Georgia, licensed in Georgia (000729) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508866765
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameLISSETTE E. TIRADOCredential: D.P.M.
Location Address625 BEAVER RUIN RD NW, SUITE CLilburn, GA 30047-3467
Mailing Address625 Beaver Ruin Rd Nw, Suite CLilburn, GA 30047-3467 · (770) 935-4443 · Fax (770) 935-4475
Phone(770) 935-4443
Fax(770) 935-4475
Sole ProprietorNo
Enumeration DateJuly 28, 2005
Last NPPES UpdateAugust 27, 2013
✔ NPI 1508866765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in GA · 000729
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 000729 (GA)
625 BEAVER RUIN RD NW, Lilburn, GA 30047
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Other Identifiers 4

Medicare NSC5029850001GA
Medicare UPINU59033GA
Medicare ID-Type Unspecified48SCCMVGA
Medicaid000761736AGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lissette E. Tirado D.p.m. 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 30047 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICE LEONIE BASANTA-HENRY M.D
Obstetrics & Gynecology (Maternal & Fetal Medicine)
625 BEAVER RUIN RD NW, SUITE D
LILBURN, GA 30047
Gwinnett County (770) 279-3838
CENTURY FOOT CARE SPECIALISTS, P.C.
Podiatrist (Foot Surgery)
625 BEAVER RUIN RD NW, SUITE C
LILBURN, GA 30047
Gwinnett County (770) 935-4443

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 Lissette Tirado's NPI number?

The NPI number for Lissette Tirado is 1508866765. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Lissette Tirado located?

Lissette Tirado practices at 625 Beaver Ruin Rd NW Suite C, Lilburn, GA 30047. The listed phone number is (770) 935-4443.

What is Lissette Tirado's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Lissette Tirado enrolled in Medicare?

Yes. Lissette Tirado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lissette Tirado was last updated on August 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.