Lisa Mack, MD
NPI 1366982852ActiveIndividual· Emergency Medicine· Fort Belvoir, VA
Emergency Medicine (MD) in Fort Belvoir, Virginia, trained at Columbia University College of Physicians and Surgeons (class of 2017). Enrolled in Medicare as practitioner - emergency medicine.
Overview
| NPI | 1366982852 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 2, 2017 |
| Last updated in NPPES | Jul 10, 2024 |
| Certified by provider | Jul 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 0101270275 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (DC) |
|---|
Education and affiliations
| Medical school | Columbia University College of Physicians and Surgeons |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Emergency Medicine |
Medical group
- Commonwealth Emergency Physicians PCLeesburg, VA · 45 clinicians
Hospital affiliation
- Virginia Hospital CenterArlington, VA
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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