DR. LISA ANDREA BEVILACQUA MD
NPI 1659868651
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Philadelphia, PA

Q: What is Lisa Bevilacqua's NPI number?

The NPI number for Lisa Bevilacqua is 1659868651. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Q: What is Lisa Bevilacqua's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Bevilacqua was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 16, 2018PECOS EnrolledAccepts Medicare Assignment

333 COTTMAN AVE, PHILADELPHIA, PA 19111(215) 728-6900(215) 728-2773 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2025, Apr 16, 2018 (2 updates tracked since 2018).

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About Dr. Lisa Andrea Bevilacqua Md NPPES

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

DR. LISA ANDREA BEVILACQUA MD (NPI 1659868651) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD471343) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2018).

NPPES Registry Identity

NPI1659868651

Entity TypeIndividualFemale

Primary Taxonomy208G00000X

Provider Legal NameDR. LISA ANDREA BEVILACQUACredential: MD

Location Address333 COTTMAN AVEPhiladelphia, PA 19111-2434

Mailing Address3500 N Broad St # 1aPhiladelphia, PA 19140-4106 · (215) 707-2433

Phone(215) 728-6900

Fax(215) 728-2773

Sole ProprietorYes

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2018

Enumeration DateApril 16, 2018

Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1659868651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in PA · MD471343

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License MD471343 (PA)

333 COTTMAN AVE, Philadelphia, PA 19111

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa Andrea Bevilacqua Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426303694

PECOS Enrollment IDI20250529003482

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Temple Health - Chestnut Hill Hospital

Acute Care Hospitals · Philadelphia, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390026

Location8835 Germantown AvenuePhiladelphia, PA 19118 · Philadelphia County

Emergency services

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390027

Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19111 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

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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 20

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

FOX CHASE CANCER CENTER MEDICAL GROUP, INC.

Anesthesiology

333 COTTMAN AVE, MED STAFF OFFICE
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-6900

JAMES SUN MD

Surgery (Surgical Oncology)

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (215) 854-9799

MS. MALA T KAILASAM MD

Internal Medicine

333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-6900

HEALTH SERVICES OF FOX CHASE CANCER CTR.

Radiology (Diagnostic Radiology)

333 COTTMAN AVE, RADIOLOGY ASSOCIATES OF FCCC
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-6900

ELENA DREYZIN PA-C

Physician Assistant

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (888) 369-2427

FREWEINI TESFALEDET PA

Physician Assistant

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-6900

MARIUSZ A WASIK MD

Pathology (Anatomic Pathology)

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-3675

DR. BARBARA C. CAVANAUGH M.D.

Radiology (Diagnostic Radiology)

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-3883

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 Bevilacqua's NPI number?

The NPI number for Lisa Bevilacqua is 1659868651. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Lisa Bevilacqua located?

Lisa Bevilacqua practices at 333 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (215) 728-6900.

What is Lisa Bevilacqua's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Lisa Bevilacqua enrolled in Medicare?

Yes. Lisa Bevilacqua is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lisa Bevilacqua affiliated with any hospitals?

According to CMS data, Lisa Bevilacqua is affiliated with Temple Health - Chestnut Hill Hospital and Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Bevilacqua was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.