LYDIA LISSANU
NPI 1851913099
Pediatrics - Pediatric Critical Care Medicine in Washington, DC

Q: What is Lydia Lissanu's NPI number?

The NPI number for Lydia Lissanu is 1851913099. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Q: What is Lydia Lissanu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Lydia Lissanu was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 May 11, 2020PECOS Enrolled

111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-3670 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 25, 2022, May 11, 2020 (2 updates tracked since 2020).

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About Lydia Lissanu NPPES

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

LYDIA LISSANU (NPI 1851913099) is an individual pediatric critical care medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (CS2100013401) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2022).

NPPES Registry Identity

NPI1851913099

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameLYDIA LISSANU

Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916

Mailing Address111 Michigan Ave NwWashington, DC 20010-2916 · (202) 476-3670

Phone(202) 476-3670

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2022

Enumeration DateMay 11, 2020

Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration

NPPES CertifiedAugust 25, 2025

✔ NPI 1851913099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in DC · CS2100013401

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

111 MICHIGAN AVE NW, Washington, DC 20010

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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)

Lydia Lissanu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224501192

PECOS Enrollment IDI20260623000243

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 Lydia Lissanu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital

Same address

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 20

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

DR. ANDREA BADILLO MD

Surgery

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-2451

DR. TALITA MICHELLE JORDAN MD

Pediatrics

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-5000

YUE-HIN LOKE MD

Pediatrics (Pediatric Cardiology)

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

ELSHADEY YAYEHYERADE BEKELE

Pediatrics

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (301) 565-4279

NOURA AL DHAHERI MD

Student in an Organized Health Care Education/Training Program

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

JIA LIU MD

Anesthesiology (Pediatric Anesthesiology)

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-5000

DR. CHARLES JOHN BILLINGTON JR. MD

Medical Genetics (Clinical Genetics (M.D.))

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

GINA JIN LEE PHARMD

Pharmacist (Pharmacotherapy)

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-4080

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 Lydia Lissanu's NPI number?

The NPI number for Lydia Lissanu is 1851913099. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Lydia Lissanu located?

Lydia Lissanu practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-3670.

What is Lydia Lissanu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Lydia Lissanu enrolled in Medicare?

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

Which organization bills Medicare for Lydia Lissanu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Lissanu 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 Lydia Lissanu'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 Lydia Lissanu was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.