Doctor profile · Federal record
Dr. Lisa Pedevillano, DO
Vascular Surgery Physician (CMS: Vascular Surgery) · Philadelphia, PA
- NPI 1720433535
- Accepts Medicare
- 10 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
9501 Roosevelt Blvd Ste 312
Philadelphia, PA 191141028
(215) 331-7001
fax (215) 331-7004 - Additional location
-
1430 W Sherman Ave
Vineland, NJ 083606927
(845) 797-5195 - Additional location
-
240 Middletown Blvd Ste 101D
Langhorne, PA 190471832 - Mailing address
-
1430 W Sherman Ave
Vineland, NJ 083606927
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- October 31, 2023
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 2086S0129X — NUCC code
- State license (1)
- Pennsylvania #OS023186
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720433535. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$892
Transactions
17
Manufacturers
8
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Silk Road Medical, INC. | 2 | $244.82 | |
| Boston Scientific Corporation | 5 | $222.11 | |
| Endologix LLC | 3 | $187.08 | |
| Cook Medical LLC | 1 | $100.30 | |
| LeMaitre Vascular, INC. | 3 | $58.07 | |
| ShockWave Medical, INC | 1 | $49.85 | |
| Pfizer INC. | 1 | $15.53 | |
| Smith+Nephew, INC. | 1 | $13.92 |
By nature of payment
Frequently asked questions
What is Dr. Lisa Pedevillano's medical specialty?
Dr. Lisa Pedevillano practices Vascular Surgery Physician in Philadelphia, PA.
Where does Dr. Lisa Pedevillano practice?
Dr. Lisa Pedevillano practices at 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 191141028. Office phone: 2153317001.
What is Dr. Lisa Pedevillano's NPI?
Dr. Lisa Pedevillano's National Provider Identifier (NPI) is 1720433535, issued by NPPES.
Does Dr. Lisa Pedevillano accept Medicare assignment?
Yes. Dr. Lisa Pedevillano accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.