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DR. LISA ANN RAWLE B.D.S.
NPI 1518540285
Dentist - Pediatric Dentistry in Chicago, IL

Active since April 30, 2021PECOS Enrolled
UIC PEDIATRIC DENTISTRY RESIDENCY RM 256D (MC 850), 801 S. PAULINA ST., CHICAGO, IL 60613(312) 413-7714(312) 996-1981 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lisa Ann Rawle B.d.s. NPPES

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

DR. LISA ANN RAWLE B.D.S. (NPI 1518540285) is an individual pediatric dentistry provider in Chicago, Illinois, licensed in Illinois (019.035456) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518540285
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. LISA ANN RAWLECredential: B.D.S.
Location AddressUIC PEDIATRIC DENTISTRY RESIDENCY RM 256D (MC 850), 801 S. PAULINA ST.Chicago, IL 60613
Mailing AddressUic Pediatric Dentistry, 801 S. Paulina St. Mc 850Chicago, IL 60612 · (866) 600-2273
Phone(312) 413-7714
Fax(312) 996-1981
Sole ProprietorNo
Enumeration DateApril 30, 2021
Last NPPES UpdateMay 2, 2025
NPPES CertifiedMay 2, 2025
✔ NPI 1518540285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IL · 019.035456
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
UIC PEDIATRIC DENTISTRY RESIDENCY RM 256D (MC 850), Chicago, IL 60613
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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 Ann Rawle B.d.s. 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 Rawle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Board Of Trustees Of The University Of Illinois
0.6 mi
Primary Care
3656 N HALSTED ST
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1588815401 (734) 726-4697

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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 Rawle's NPI number?

The NPI number for Lisa Rawle is 1518540285. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Lisa Rawle located?

Lisa Rawle practices at Uic Pediatric Dentistry Residency Rm 256D (mc 850) 801 S. Paulina St., Chicago, IL 60613. The listed phone number is (312) 413-7714.

What is Lisa Rawle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Lisa Rawle enrolled in Medicare?

Yes. Lisa Rawle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Rawle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Rawle reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (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 Rawle'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 Rawle was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.