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

Dr. Lisa G. Distefano, MD

Individual provider Internal Medicine Physician · NPI 1003810789

Dr. Lisa G. Distefano, MD is an Internal Medicine in Overland Park, Kansas. Graduated from Virginia Commonwealth University, School of Medicine in 1998, 28 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Missouri.

Years since qualifying
28
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
KS, MO
In the registry since
2005
Specialties on file
3
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

12541 Foster St Ste 300
Overland Park, KS 66213-2304
Phone: (913) 317-3200
Fax: (913) 317-3218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0450138 (KS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 119536 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 119536 (MO)

Record details

NPI number1003810789
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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