DR. LISA FLORENCE IMUNDO MD
NPI 1881677763
Pediatrics - Pediatric Rheumatology in New York, NY

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
161 FORT WASHINGTON AVE FL 2, COLUMBIA UNIVERSITY DEPARTMENT OF PEDIATRICS, NEW YORK, NY 10032(212) 304-7250 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lisa Florence Imundo Md NPPES

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

DR. LISA FLORENCE IMUNDO MD (NPI 1881677763) is an individual pediatric rheumatology provider in New York, New York, licensed in New York (180212-1) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1988).

NPPES Registry Identity

NPI1881677763
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameDR. LISA FLORENCE IMUNDOCredential: MD
Location Address161 FORT WASHINGTON AVE FL 2, COLUMBIA UNIVERSITY DEPARTMENT OF PEDIATRICSNew York, NY 10032-3729
Mailing Address161 Fort Washington Ave Fl 2, Columbia UniversityNew York, NY 10032-3729 · (212) 304-7250
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1988
Enumeration DateNovember 23, 2005
Last NPPES UpdateNovember 24, 2015
✔ NPI 1881677763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in NY · 180212-1
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
161 FORT WASHINGTON AVE FL 2, New York, NY 10032

Other Identifiers 3

Medicare ID-Type Unspecified502X31NY
Medicaid01605063NY
Medicare UPING36394NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa Florence Imundo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325129141
PECOS Enrollment IDI20080118000175
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

4

Medicare enrollment records show Lisa Imundo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 612 clinicians in this Medicare group
Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1982993184 (New York)
  • 3,922 clinicians in this Medicare group
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group

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 8

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

Internal Medicine (Rheumatology)
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
Physician Assistant
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
Internal Medicine (Nephrology)
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
Internal Medicine (Rheumatology)
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
Internal Medicine (Rheumatology)
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
Orthopaedic Surgery
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
Nurse Practitioner (Family)
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
Orthopaedic Surgery
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032

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 Imundo's NPI number?

The NPI number for Lisa Imundo is 1881677763. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Lisa Imundo located?

Lisa Imundo practices at 161 Fort Washington Ave Fl 2 Columbia University Department Of Pediatrics, New York, NY 10032. The listed phone number is (212) 304-7250.

What is Lisa Imundo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Lisa Imundo enrolled in Medicare?

Yes. Lisa Imundo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lisa Imundo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Imundo reassigns Medicare benefits to 4 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Trustees Of Columbia University In The City Of New York (New York, NY), Physician Affiliate Group Of New York PC (New York, NY) and Harlem Medical Associates PC (New York, NY). 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 Lisa Imundo'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 Imundo was last updated on November 24, 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.