LISA MARIE PIWOSZKIN D.O.
NPI 1639425291
Pediatrics - Neonatal-Perinatal Medicine in Fort Wayne, IN

Q: What is Lisa Marie Piwoszkin's NPI number?

The NPI number for Lisa Marie Piwoszkin is 1639425291. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Q: What is Lisa Marie Piwoszkin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since July 31, 2012PECOS Enrolled

11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 672-6443(260) 672-6459 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2023, Aug 15, 2019 (2 updates tracked since 2019).

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About Lisa Marie Piwoszkin D.o. NPPES

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

LISA MARIE PIWOSZKIN D.O. (NPI 1639425291) is an individual neonatal-perinatal medicine provider in Fort Wayne, Indiana, licensed in Indiana (02005684A) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oak Lawn.

NPPES Registry Identity

NPI1639425291

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameLISA MARIE PIWOSZKINCredential: D.O.

Location Address11115 PARKVIEW PLAZA DRFort Wayne, IN 46845

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(260) 672-6443

Fax(260) 672-6459

Sole ProprietorNo

Enumeration DateJuly 31, 2012

Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2023

✔ NPI 1639425291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in IN · 02005684A

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 125061757 (IL)

11115 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

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Secondary Practice Location 1

Location 14440 W 95th StOak Lawn, IL 60453-2600 · Phone (708) 684-3296 · Fax (708) 684-3142

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Marie Piwoszkin D.o. 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. MELISSA S RICE D.O.

Pediatrics (Neonatal-Perinatal Medicine)