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

Dr. Lisa Pedevillano, DO

Individual provider Vascular Surgery Physician · NPI 1720433535

Dr. Lisa Pedevillano, DO is a Vascular Surgery in Philadelphia, Pennsylvania. Graduated from Rowan University School of Osteopathic Medicine in 2016, 10 years ago. Practices with Aria Health Physician Services, a 480-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Trained at
Rowan University School of Osteopathic Medicine
Licensed in
PA
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9501 Roosevelt Blvd Ste 312
Philadelphia, PA 19114-1028
Phone: (215) 331-7001
Fax: (215) 331-7004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1430 W Sherman Ave, Vineland, NJ 08360-6927 — (845) 797-5195
  • 240 Middletown Blvd Ste 101d, Langhorne, PA 19047-1832 — (215) 331-7001

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence OS023186 (PA)

Record details

NPI number1720433535
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 29, 2016
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Aria Health Physician Services — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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