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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. LAKISHA JEANETTE BURTON WILLIS MBA, M.D.
NPI 1902288962
Internal Medicine in Hampton, VA

Active since June 25, 2015PECOS Enrolled
30 TOWN CENTER WAY, HAMPTON, VA 23666(757) 251-2170 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 22, 2026, Feb 23, 2016 (2 updates tracked since 2016).

About Mrs. Lakisha Jeanette Burton Willis Mba, M.d. NPPES

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

MRS. LAKISHA JEANETTE BURTON WILLIS MBA, M.D. (NPI 1902288962) is an individual internal medicine provider in Hampton, Virginia, licensed in Virginia (0101273401) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1902288962
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. LAKISHA JEANETTE BURTON WILLISCredential: MBA, M.D.
Location Address30 TOWN CENTER WAYHampton, VA 23666-1999
Mailing Address4188 Old Dominion DrWest Bloomfield, MI 48323-2659 · (313) 701-8811
Phone(757) 251-2170
Sole ProprietorNo
Enumeration DateJune 25, 2015
Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1902288962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101273401
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301188560 (MI)
30 TOWN CENTER WAY, Hampton, VA 23666
Open in Google Maps ↗

Secondary Practice Location 1

Location 1540 E Canfield StDetroit, MI 48201-1928 · Phone (313) 577-1102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lakisha Jeanette Burton Willis Mba, 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 23666 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 4

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

AIDA ATIQ M.D
Family Medicine
30 TOWN CENTER WAY
HAMPTON, VA 23666
Hampton City (757) 251-2170
ANDREA AVALOS MD
Family Medicine
30 TOWN CENTER WAY
HAMPTON, VA 23666
Hampton City (757) 251-2170
JORDAN ALEXANDER DEHLI DO
Family Medicine
30 TOWN CENTER WAY
HAMPTON, VA 23666
Hampton City (757) 251-2170
SOHINI MAJUMDAR M.D.
Family Medicine
30 TOWN CENTER WAY
HAMPTON, VA 23666
Hampton City (757) 251-2170

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 Lakisha Burton Willis's NPI number?

The NPI number for Lakisha Burton Willis is 1902288962. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Lakisha Burton Willis located?

Lakisha Burton Willis practices at 30 Town Center Way, Hampton, VA 23666. The listed phone number is (757) 251-2170.

What is Lakisha Burton Willis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lakisha Burton Willis enrolled in Medicare?

Yes. Lakisha Burton Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lakisha Burton Willis was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.