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LISA MEDOH
NPI 1689039075
Nurse Practitioner - Family in Silver Spring, MD

Active since December 29, 2015PECOS Enrolled
11120 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20904(301) 439-4422 Get Directions Write a Review

NPPES record last updated: December 29, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lisa Medoh NPPES

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

LISA MEDOH (NPI 1689039075) is an individual family provider in Silver Spring, Maryland, licensed in Maryland (R175763) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689039075
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MEDOH
Location Address11120 NEW HAMPSHIRE AVESilver Spring, MD 20904-2633
Mailing Address11204 Homestead DrUpper Marlboro, MD 20774-5760 · (240) 486-7733
Phone(301) 439-4422
Sole ProprietorYes
Enumeration DateDecember 29, 2015
✔ NPI 1689039075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R175763
11120 NEW HAMPSHIRE AVE, Silver Spring, MD 20904
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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 (PECOS)

Lisa Medoh 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 20904 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
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.

EAST-WEST ACUPUNCTURE & HERBAL CENTER
Acupuncturist
11120 NEW HAMPSHIRE AVE, SUITE 409
SILVER SPRING, MD 20904
Montgomery County (301) 592-1234
TRACY BLOOD PH.D
Psychologist (Clinical)
11120 NEW HAMPSHIRE AVE, SUITE # 204
SILVER SPRING, MD 20904
Montgomery County (301) 593-1315
DR. LISA DEMARCO
Dentist (Orthodontics and Dentofacial Orthopedics)
11120 NEW HAMPSHIRE AVE, SUITE 402
SILVER SPRING, MD 20904
Montgomery County (301) 593-6363
DR. JESSICA CURRAN MD
Family Medicine (Sports Medicine)
11120 NEW HAMPSHIRE AVE, SUITE 411
SILVER SPRING, MD 20904
Montgomery County (301) 754-0505
ERAN KESSOUS MD PC
Clinic/Center (Physical Therapy)
11120 NEW HAMPSHIRE AVE, 411
SILVER SPRING, MD 20904
Montgomery County (301) 754-0505
DEEPAN CHATTERJEE PHD
Psychologist
11120 NEW HAMPSHIRE AVE, SUITE # 204
SILVER SPRING, MD 20904
Montgomery County (301) 593-1315
DR. PATIENCE ADJOVI WILLIAMS M.D.
Pediatrics
11120 NEW HAMPSHIRE AVE, SUITE 309
SILVER SPRING, MD 20904
Montgomery County (301) 681-7237
DR. DARSHNA PATEL DDS
Dentist
11120 NEW HAMPSHIRE AVE
SILVER SPRING, MD 20904
Montgomery County (410) 299-1553

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 Medoh's NPI number?

The NPI number for Lisa Medoh is 1689039075. It was assigned to this individual provider in the NPPES registry on December 29, 2015.

Where is Lisa Medoh located?

Lisa Medoh practices at 11120 New Hampshire Ave, Silver Spring, MD 20904. The listed phone number is (301) 439-4422.

What is Lisa Medoh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Medoh enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Medoh was last updated on December 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.