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DR. LISE NADINE TCHOUTA MD
NPI 1942662622
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since March 22, 2016PECOS Enrolled
1500 E MEDICAL CENTER DRIVE, SPC 5033, TAUBMAN CENTER, FLOOR 2, RECEPTION C, ANN ARBOR, MI 48109(734) 936-5738(734) 936-5830 Get Directions Write a Review

NPPES record last updated: June 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2020, Mar 22, 2016 (2 updates tracked since 2016).

About Dr. Lise Nadine Tchouta Md NPPES

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

DR. LISE NADINE TCHOUTA MD (NPI 1942662622) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1942662622
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. LISE NADINE TCHOUTACredential: MD
Location Address1500 E MEDICAL CENTER DRIVE, SPC 5033, TAUBMAN CENTER, FLOOR 2, RECEPTION CAnn Arbor, MI 48109-5033
Mailing Address1500 E Medical Center Drive, 1c340 Trauma Burn, Spc 5033Ann Arbor, MI 48109-5033 · (734) 936-5738 · Fax (212) 305-8321
Phone(734) 936-5738
Fax(734) 936-5830
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateJune 20, 20202 updates tracked since enumeration
NPPES CertifiedJune 20, 2020
✔ NPI 1942662622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E MEDICAL CENTER DRIVE, SPC 5033, Ann Arbor, MI 48109
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Secondary Practice Location 1

Location 1177 Fort Washington AveNew York, NY 10032-3733 · Phone (212) 305-3038 · Fax (212) 305-8321

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. Lise Nadine Tchouta Md 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.

Other Providers at the Same Location NPPES

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

JACKLYN MAYE ENGELBART MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5033, TAUBMAN CENTER, FLOOR 2, RECEPTION C
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5738

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 Lise Tchouta's NPI number?

The NPI number for Lise Tchouta is 1942662622. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Lise Tchouta located?

Lise Tchouta practices at 1500 E Medical Center Drive, Spc 5033 Taubman Center, Floor 2, Reception C, Ann Arbor, MI 48109. The listed phone number is (734) 936-5738.

What is Lise Tchouta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lise Tchouta enrolled in Medicare?

Yes. Lise Tchouta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lise Tchouta was last updated on June 20, 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.