DR. LISA SIRIPUN M.D. NPI 1164620050

NPI Information

  • NPI: 1164620050
  • Provider Name: DR. LISA SIRIPUN, M.D.
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 ELMWOOD AVE
    BOX 648
    ROCHESTER, NY
    ZIP 14642
  • Phone: (585) 275-1128

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NPI Details

DR. Lisa Siripun, M.D. is a student in an organized health care education training program in Rochester, NY with 25 years of experience. The provider is 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. DR. Lisa Siripun, M.D. NPI is 1164620050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 ELMWOOD AVE
BOX 648
ROCHESTER, NY
ZIP 14642-648
Phone: (585) 275-1128
Fax: (585) 273-3549

The NPI 1164620050 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Screening mammography (HCPCS:77067)

The enumeration date for this NPI number is 7/3/2007 and was last updated on 12/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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