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LISA M BANTA M.D.
NPI 1669560595
Anesthesiology in Boston, MA

Active since October 10, 2006PECOS Enrolled
TUFTS NEW ENGLAND MEDICAL CENTER, 750 WASHINGTON STREET, BOX 298, BOSTON, MA 02111(617) 636-6044 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa M Banta M.d. NPPES

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

LISA M BANTA M.D. (NPI 1669560595) is an individual anesthesiology provider in Boston, Massachusetts, licensed in Massachusetts (230248) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669560595
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameLISA M BANTACredential: M.D.
Location AddressTUFTS NEW ENGLAND MEDICAL CENTER, 750 WASHINGTON STREET, BOX 298Boston, MA 02111
Mailing AddressTufts New England Medical Center, 750 Washington Street, Box 298Boston, MA 02111 · (617) 636-6044
Phone(617) 636-6044
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669560595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MA · 230248
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
TUFTS NEW ENGLAND MEDICAL CENTER, Boston, MA 02111
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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)

Lisa M Banta M.d. 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 Banta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital
392 mi
Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group
NPI 1780800128 (202) 476-5000

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

Other Providers at the Same Location NPPES 4

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

ROBERT M BLANTON M.D.
Internal Medicine (Cardiovascular Disease)
TUFTS NEW ENGLAND MEDICAL CENTER, 800 WASHINGTON STREET
BOSTON, MA 02111
Suffolk County (617) 636-8236
ASHISH MAHAJAN M.D.
Internal Medicine (Nephrology)
TUFTS NEW ENGLAND MEDICAL CENTER, 750 WASHINGTON ST. #391
BOSTON, MA 02111
Suffolk County (617) 636-9606
CHARLES F MOORE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
TUFTS NEW ENGLAND MEDICAL CENTER, 750 WASHINGTON STREET
BOSTON, MA 02111
Suffolk County (617) 636-8440
ANDREW S LEVEY M.D.
Internal Medicine (Nephrology)
TUFTS NEW ENGLAND MEDICAL CENTER, 750 WASHINGTON ST., BOX 391
BOSTON, MA 02111
Suffolk County (617) 636-0563

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 Banta's NPI number?

The NPI number for Lisa Banta is 1669560595. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Lisa Banta located?

Lisa Banta practices at Tufts New England Medical Center 750 Washington Street, Box 298, Boston, MA 02111. The listed phone number is (617) 636-6044.

What is Lisa Banta's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Lisa Banta enrolled in Medicare?

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

Which organization bills Medicare for Lisa Banta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Banta reassigns Medicare benefits to Children's Hospital (Washington, DC). 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 Banta'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 Banta was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.