Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Desta Lissanu, MD

Individual provider Psychiatry Physician · NPI 1942769773

Desta Lissanu, MD is a Psychiatry in Boston, Massachusetts. Graduated from University of Chicago, Pritzker School of Medicine in 2019, 7 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
MA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-9550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 58 Weld Hill St, Boston, MA 02130-4187 — (617) 982-3152

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 290272 (MA)

Record details

NPI number1942769773
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 19, 2019
Last updated in NPPESApril 16, 2023
Certification dateApril 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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