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DR. ZEWDU LISSANU M.D.
NPI 1770556235
Internal Medicine - Hematology & Oncology in Campbellsville, KY

Active since February 07, 2006PECOS Enrolled
125 GREENBRIAR DR, CAMPBELLSVILLE, KY 42718(270) 789-0247 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Zewdu Lissanu M.d. NPPES

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

DR. ZEWDU LISSANU M.D. (NPI 1770556235) is an individual hematology & oncology provider in Campbellsville, Kentucky, licensed in Kentucky (36828) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770556235
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ZEWDU LISSANUCredential: M.D.
Location Address125 GREENBRIAR DRCampbellsville, KY 42718-9616
Mailing Address1698 Old Lebanon RdCampbellsville, KY 42718-9662 · (270) 789-0247
Phone(270) 789-0247
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateDecember 11, 2013
✔ NPI 1770556235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in KY · 36828
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
125 GREENBRIAR DR, Campbellsville, KY 42718
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Other Identifiers 3

Medicare PIN00524KY
Medicare UPINF41558
Medicaid64032188KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Zewdu Lissanu 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42718 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 7

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

ASHLIE MARIE JUDD APRN
Nurse Practitioner (Family)
125 GREENBRIAR DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-6166
TAYLOR REGIONAL MEDICAL GROUP
Internal Medicine (Hematology & Oncology)
125 GREENBRIAR DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-6166
PETER B HARDIN MD
Radiology (Radiation Oncology)
125 GREENBRIAR DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-9999
MARIAH HOLMES MSN, APRN, FNP-C
Nurse Practitioner (Family)
125 GREENBRIAR DR
CAMPBELLSVILLE, KY 42718
Taylor County (207) 789-6166
TAYLOR REGIONAL RADIATION ONCOLOGY PLLC
Radiology (Radiation Oncology)
125 GREENBRIAR DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-9999
DR. MONTE EDWARD MARTIN M.D.
Internal Medicine (Hematology & Oncology)
125 GREENBRIAR DR
CAMPBELLSVILLE, KY 42718
Taylor County (207) 789-6166
BRAD MONTGOMERY
Pharmacist
125 GREENBRIAR DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-5825

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 Zewdu Lissanu's NPI number?

The NPI number for Zewdu Lissanu is 1770556235. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Zewdu Lissanu located?

Zewdu Lissanu practices at 125 Greenbriar Dr, Campbellsville, KY 42718. The listed phone number is (270) 789-0247.

What is Zewdu Lissanu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Zewdu Lissanu enrolled in Medicare?

Yes. Zewdu Lissanu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zewdu Lissanu was last updated on December 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.