ALEXANDER LALISAN DO
NPI 1861142614
Pediatrics in Aurora, CO

Q: What is Alexander Lalisan's NPI number?

The NPI number for Alexander Lalisan is 1861142614. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Alexander Lalisan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Alexander Lalisan was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 25, 2022PECOS Enrolled

13123 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2025, Jun 5, 2025 (2 updates tracked since 2025).

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About Alexander Lalisan Do NPPES

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

ALEXANDER LALISAN DO (NPI 1861142614) is an individual pediatrics provider in Aurora, Colorado, licensed in Colorado (DR.0074790) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861142614

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameALEXANDER LALISANCredential: DO

Location Address13123 E 16TH AVEAurora, CO 80045-7106

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(720) 848-0000

Sole ProprietorNo

Enumeration DateMarch 25, 2022

Last NPPES UpdateJune 24, 20252 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1861142614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CO · DR.0074790

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

13123 E 16TH AVE, Aurora, CO 80045

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Secondary Practice Locations 2

Location 113001 E. 17th PlaceAurora, CO 80045-2581 · Phone (720) 777-2724 · Fax (720) 777-7258

Location 2777 Bannock StDenver, CO 80204-4597 · Phone (303) 436-4949 · Fax (303) 602-9159

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Lalisan Do 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 Reassignments

Medicare enrollment records show Alexander Lalisan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physicians Incorporated

Same address

Pediatrics

13123 E 16TH AVE
Aurora, CO 80045

Reassigned Medicare billing, Colorado enrollment
4,283 clinicians in this Medicare group

NPI 1083662498 (720) 777-1234

Denver Health And Hospital Authority

8.4 mi

General Practice

777 BANNOCK ST
Denver, CO 80204

Reassigned Medicare billing, Colorado enrollment
2,259 clinicians in this Medicare group

NPI 1477569838 (303) 436-6000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

ERIN TERAVEST PA

Physician Assistant (Surgical)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

MELISSA KAY FRAZER AA-C

Anesthesiologist Assistant

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

RACHEL MARIE RANWEILER

Registered Nurse (Neonatal Intensive Care)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-6857

DR. KATHRYN LYN PEGAN AU.D.

Audiologist

13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045

Adams County (720) 777-1961

MRS. KRISTEN L HOLDER FNP-C, APRN-BC

Nurse Practitioner (Psychiatric/Mental Health)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

MRS. JILL M MARKS RN, APN

Nurse Practitioner (Pediatrics)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

MRS. WENDELYN M BARRETT NNP

Registered Nurse (Neonatal Intensive Care)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-6857

DR. TIMOTHY OWEN VANDERKOOY MD

Emergency Medicine (Pediatric Emergency Medicine)

13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045

Adams County (720) 777-1234

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 Alexander Lalisan's NPI number?

The NPI number for Alexander Lalisan is 1861142614. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Alexander Lalisan located?

Alexander Lalisan practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Alexander Lalisan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alexander Lalisan enrolled in Medicare?

Yes. Alexander Lalisan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alexander Lalisan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Lalisan reassigns Medicare benefits to 2 organizations: University Physicians Incorporated (Aurora, CO) and Denver Health And Hospital Authority (Denver, CO). Each 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 Alexander Lalisan'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 Alexander Lalisan was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.