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LISA CORSTVET MD PLLC
NPI 1902039241
Anesthesiology in Oklahoma City, OK

Active since September 03, 2009
4317 W MEMORIAL RD, OKLAHOMA CITY, OK 73134(405) 418-4800(405) 418-4820 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 21, 2020, Jul 31, 2020 (2 updates tracked since 2020).

About Lisa Corstvet Md Pllc NPPES

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

LISA CORSTVET MD PLLC (NPI 1902039241) is a healthcare organization registered as an anesthesiology in Oklahoma City, Oklahoma and active in the NPI registry since September 2009. The organization lists Cheri Moore, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1902039241
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameLISA CORSTVET MD PLLC
Location Address4317 W MEMORIAL RDOklahoma City, OK 73134-1720
Mailing AddressPo Box 975008Dallas, TX 75397-5008 · (405) 418-4800 · Fax (405) 418-4820
Phone(405) 418-4800
Fax(405) 418-4820
Organization SubpartNo
Authorized OfficialCheri MooreCredentialing Coordinator · (405) 418-4800
Enumeration DateSeptember 3, 2009
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1902039241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in OK · 16541
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
4317 W MEMORIAL RD, Oklahoma City, OK 73134
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Other Identifiers 2

Other614474300OK · Dol
Medicaid200257060AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Corstvet Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20090924000147Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lisa Corstvet MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Corstvet, MD
Anesthesiology
NPI 1083628044
4317 W MEMORIAL RD
Oklahoma City, OK 73134
(405) 418-4800
✔ PECOS0.1 mi

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

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 Corstvet MD PLLC's NPI number?

The NPI number for Lisa Corstvet MD PLLC is 1902039241. It was assigned to this organization in the NPPES registry on September 3, 2009.

Where is Lisa Corstvet MD PLLC located?

Lisa Corstvet MD PLLC is located at 4317 W Memorial Rd, Oklahoma City, OK 73134. The listed phone number is (405) 418-4800.

What is Lisa Corstvet MD PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Lisa Corstvet MD PLLC enrolled in Medicare?

Yes. Lisa Corstvet MD PLLC is registered in the Medicare PECOS enrollment system.

When is Lisa Corstvet MD PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lisa Corstvet MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Lisa Corstvet MD PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Corstvet MD PLLC was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.