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LISA MENILLO MD
NPI 1952309924
Pediatrics in Bristol, CT

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: November 01, 2026.

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Menillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Connecticut Children's Specialty Group, Inc.
12 mi
Pediatrics
282 WASHINGTON ST
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 601 clinicians in this Medicare group
NPI 1669448882 (860) 545-9000

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

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
1301 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 589-4501
ALLYSON PAIGE REYNOLDS APRN
Nurse Practitioner (Pediatrics)
1301 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 589-4501
CASEY ST. JOHN DNP, APRN, FNP-BC
Nurse Practitioner
1301 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 589-4501
HAYLEY SHAW FNP-BC
Nurse Practitioner (Family)
1301 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (203) 271-1541
SUSAN ADEOLA ADEIFE LEE MD
Pediatrics
1301 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 589-4501
MS. MARY CATHERINE EGAN MIECZKOWSKI APRN PNP BC
Nurse Practitioner (Pediatrics)
1301 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 589-4501
SEYI ADEYINKA MD PSYCHIATRIST, PLLC
Clinic/Center (Adult Mental Health)
1301 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 530-5362
THE PEDIATRIC CARE CENTER, LLC
Pediatrics
1301 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 589-4501

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 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.

Where is Lisa Menillo located?

Lisa Menillo practices at 1301 Farmington Ave, Bristol, CT 06010. The listed phone number is (860) 589-4501.

What is Lisa Menillo's specialty?

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

Is Lisa Menillo enrolled in Medicare?

Yes. Lisa Menillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Menillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Menillo reassigns Medicare benefits to Connecticut Children's Specialty Group, Inc. (Hartford, CT). The 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 Lisa Menillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Menillo accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisa Menillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 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.