Lisa Pudusseri, DO - Medicare Cardiovascular Disease (cardiology) in Palos Heights, IL

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Lisa Pudusseri, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Palos Heights, Illinois. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2007 and has 17 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). She is a member of the group practice Northwestern Medical Faculty Foundation, Palos Imaging Llc and her current practice location is 12255 S 80th Ave Ste 205, Palos Heights, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 923-4200.

Lisa Pudusseri is licensed to practice in Illinois (license number 036135453) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245422666.

Contact Information

Lisa Pudusseri, DO
12255 S 80th Ave Ste 205,
Palos Heights, IL 60463-1284
(708) 923-4200
(708) 923-4201

Map and Direction




Physician's Profile

Full NameLisa Pudusseri
GenderFemale
SpecialityCardiovascular Disease (cardiology)
Experience17 Years
Location12255 S 80th Ave Ste 205, Palos Heights, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Pudusseri attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2007
  NPI Data:
  • NPI Number: 1245422666
  • Provider Enumeration Date: 08/10/2007
  • Last Update Date: 03/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5193946374
  • Enrollment ID: I20141103000507

Medical Identifiers

Medical identifiers for Lisa Pudusseri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245422666NPI-NPPES
036-135453MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 036135453 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Palos Community HospitalPalos heights, ILHospital
Central Dupage HospitalWinfield, ILHospital
Osf Little Company Of Mary Medical CenterEvergreen park, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143352
Palos Imaging Llc913341567225

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa Pudusseri allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameCentral Dupage Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601
Entity NamePalos Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417305350
PECOS PAC ID: 9133415672
Enrollment ID: O20160908001889

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Pudusseri is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Pudusseri, DO
12255 S 80th Ave Ste 205,
Palos Heights, IL 60463-1284

Ph: (708) 923-4200		Lisa Pudusseri, DO
12255 S 80th Ave Ste 205,
Palos Heights, IL 60463-1284

Ph: (708) 923-4200

Reviews and Comments


Internal Medicine Doctors in Palos Heights, IL

Dr. Maitrayee Sundaresan Vadali, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463
Phone: 708-923-4200    Fax: 708-923-4201
Dr. Natalie Pitaro, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 12255 S 80th Ave, Palos Heights, IL 60463
Phone: 708-923-7874    Fax: 708-923-7876
Dr. Abdul-hamid Mohammed Shahbain, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 12508 S Harlem Ave, Suite C, Palos Heights, IL 60463
Phone: 708-671-1685    Fax: 708-671-1695
Sandhya Nagubadi, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 12800 S Ridgeland Ave Ste E, Palos Heights, IL 60463
Phone: 708-429-3700    Fax: 708-429-4460
Arpana Paruchuri, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 12251 S 80th Ave, Palos Heights, IL 60463
Phone: 708-923-4529    
Chaher Hussain Alhandalous, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 12251 S. 80th Avenue, Palos Heights, IL 60463
Phone: 708-923-5869    Fax: 708-923-5859
Kathryn Rose Mailhiot, APRN, CNP
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 12251 S 80th Ave, Palos Heights, IL 60463
Phone: 708-923-4963    Fax: 708-923-4283

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.