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DR. LISA LACARRUBBA M.D.
NPI 1962589432
Family Medicine in Baltimore, MD

Active since November 01, 2006PECOS Enrolled
1501 S CLINTON ST, BALTIMORE, MD 21224(866) 233-6925(410) 866-8606 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2024, May 2, 2023 (2 updates tracked since 2023).

About Dr. Lisa Lacarrubba M.d. NPPES

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

DR. LISA LACARRUBBA M.D. (NPI 1962589432) is an individual family medicine provider in Baltimore, Maryland, licensed in Maryland (D0095650) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962589432
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LISA LACARRUBBACredential: M.D.
Location Address1501 S CLINTON STBaltimore, MD 21224-5730
Mailing Address1501 S Clinton StBaltimore, MD 21224-5730
Phone(866) 233-6925
Fax(410) 866-8606
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 27, 20242 updates tracked since enumeration
NPPES CertifiedNovember 27, 2024
✔ NPI 1962589432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · D0095650✔ Licensed in VT · 0420010047✔ Licensed in NJ · 25MA06802900
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1501 S CLINTON ST, Baltimore, MD 21224
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Other Identifiers 5

Other349703VT · Mvp
Other00049423VT · Blue Shield
Other8000700VT · Ladies First
Other080158933VT · Railroad Medicare
Medicaid0VN2307VT

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 Lacarrubba 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 21224 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 20

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

DR. TIMOTHY ANTHONY BUCKLEY MD
Family Medicine
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (866) 763-2211
MRS. JESSICA LAKE BUHR CRNP
Nurse Practitioner (Gerontology)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (866) 763-2211
ALLISON PIEDMONTE RN
Case Manager/Care Coordinator
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (610) 509-0962
JESSICA HURLEY
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (443) 521-2455
MS. THERESE CHRISTINE DAVIS CCM RN
Case Manager/Care Coordinator
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 724-2628
KELLY KENNEDY
Registered Nurse
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (443) 370-7233
KAREN LEE KEHRING
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 605-2648
MRS. CHRISTINA E CUSTIS
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 763-6386

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 Lacarrubba's NPI number?

The NPI number for Lisa Lacarrubba is 1962589432. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Lisa Lacarrubba located?

Lisa Lacarrubba practices at 1501 S Clinton St, Baltimore, MD 21224. The listed phone number is (866) 233-6925.

What is Lisa Lacarrubba's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lisa Lacarrubba enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Lacarrubba was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.