LISA MENILLO MD
NPI 1952309924
Pediatrics in Bristol, CT

Q: What is Lisa Menillo's NPI number?

The NPI number for Lisa Menillo is 1952309924. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Q: What is Lisa Menillo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Menillo was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 13, 2005PECOS Enrolled

1301 FARMINGTON AVE, BRISTOL, CT 06010(860) 589-4501(860) 589-4502 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Lisa Menillo Md NPPES

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

LISA MENILLO MD (NPI 1952309924) is an individual pediatrics provider in Bristol, Connecticut, licensed in Connecticut (030842) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952309924

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameLISA MENILLOCredential: MD

Location Address1301 FARMINGTON AVEBristol, CT 06010-4776

Mailing Address1301 Farmington AveBristol, CT 06010-4776 · (860) 589-4501 · Fax (860) 589-4502

Phone(860) 589-4501

Fax(860) 589-4502

Sole ProprietorNo

Enumeration DateJuly 13, 2005

Last NPPES UpdateOctober 8, 2020

NPPES CertifiedOctober 8, 2020

✔ NPI 1952309924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CT · 030842

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1301 FARMINGTON AVE, Bristol, CT 06010

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Other Identifiers 1

Medicaid001308429CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Menillo 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06010 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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 8

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

MR. JOSEPH CLAUDE LABELL JR. MHS, PA-C

Physician Assistant