DR. LISA BERGERSEN MD MPH
NPI 1942299730
Pediatrics - Pediatric Cardiology in Boston, MA

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

Active since October 14, 2005PECOS Enrolled

300 LONGWOOD AVE, BOSTON, MA 02115(617) 335-7893 Get Directions Write a Review

NPPES record last updated: November 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Lisa Bergersen Md Mph NPPES

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

DR. LISA BERGERSEN MD MPH (NPI 1942299730) is an individual pediatric cardiology provider in Boston, Massachusetts, licensed in Massachusetts (160372) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942299730

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameDR. LISA BERGERSENCredential: MD MPH

Location Address300 LONGWOOD AVEBoston, MA 02115-5724

Mailing AddressPo Box 9135, Att:sharon SilvaBrookline, MA 02446-9135 · (603) 890-4404 · Fax (603) 893-8886

Phone(617) 335-7893

Sole ProprietorNo

Enumeration DateOctober 14, 2005

Last NPPES UpdateNovember 21, 2020

NPPES CertifiedNovember 21, 2020

✔ NPI 1942299730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in MA · 160372

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 160372 (MA)

Also ListedPediatricsTaxonomy 208000000X · License 160372 (MA)

300 LONGWOOD AVE, Boston, MA 02115

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Other Identifiers 9

Other2501928MA · United Healthcare Ma

Other28244MA · Bmc Healthnet

OtherJ27337MA · Bcbs Ma

OtherJ27337MA · Hmo Blue

Other468809MA · Tufts Health Plan

OtherJ27337MA · Blue Care Elect

Medicaid2039290MA

Other96969201MA · Network Health

MedicaidLB54040RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Bergersen Md Mph 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.