Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lisa Simon, MD, DMD

Individual provider Dentist · NPI 1730594458

Dr. Lisa Simon, MD, DMD is an Internal Medicine in Boston, Massachusetts. Graduated from Harvard Medical School in 2020, 6 years ago. Practices with Rosebud Indian Health Service, a 78-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
6
Trained at
Harvard Medical School
Licensed in
MA
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

75 Francis St
Boston, MA 02115-6106
Phone: (617) 732-5775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 118 Riverway Apt 23, Boston, MA 02215-4131 — (310) 508-4014

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1013196 (MA)
Dentist Taxonomy 122300000X · Licence DN1856591 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730594458
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , DMD
Sole proprietorNo
NPI enumeratedJune 23, 2014
Last updated in NPPESSeptember 18, 2023
Certification dateAugust 23, 2021
Mailing address75 Francis St, Boston, MA 02115-6110

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Rosebud Indian Health Service — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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