Lisa Davidoff, M.D.
NPI 1104115468ActiveIndividual· Internal Medicine· Deerfield, IL
Opted out of Medicare from August 2022 to August 2028. Internal Medicine (M.D.) with Select Rehabilitation, LLC, practicing in Deerfield, Illinois. Part D covered 178 prescriptions written in 2024, 90% of them generic. Lists Loyola University Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1104115468 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 6, 2011 |
| Last updated in NPPES | Dec 21, 2022 |
| Certified by provider | Dec 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 036.138311 | IL |
| Pediatrics | 208000000X | 036.138311 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Aug 2, 2022 – Aug 2, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 178 · 432 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $13,584 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Pediatric Medicine |
Medical group
- Select Rehabilitation, LLCGlenview, IL · 2,046 clinicians
Hospital affiliations
- Loyola University Medical CenterMaywood, IL
- Northshore University Healthsystem - Evanston HospitalEvanston, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 31 internal medicine physicians in Deerfield · All internal medicine physicians in Illinois