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

Lisa Pudusseri, DO

Individual provider Cardiovascular Disease Physician · NPI 1245422666

Lisa Pudusseri, DO is a Cardiovascular Disease (Cardiology) in Palos Heights, Illinois. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2007, 19 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
IL
In the registry since
2007
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

12255 S 80th Ave Ste 205
Palos Heights, IL 60463-1284
Phone: (708) 923-4200
Fax: (708) 923-4201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15300 West Ave Ste 23, Orland Park, IL 60462-4504 — (708) 923-4200

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 036135453 (IL)

Record details

NPI number1245422666
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 10, 2007
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022
Mailing address12255 S 80th Ave Ste 205, Palos Heights, IL 60463-1284

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2007 (19 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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