KEISHA A PIERRE-LYS (DO) – Family Medicine Physician, NPI 1225610348

KEISHA A PIERRE-LYS (DO) is a healthcare provider. based in Casa grande, Arizona. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 011272 (AZ). The NPI Number for KEISHA A PIERRE-LYS (DO) is 1225610348

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KEISHA A PIERRE-LYS (DO)
NPI
1225610348
Phone
(520) 208-2521
Address
865 N Arizola Rd
Enumeration Date
27 April 2021
Last Update Date
8 October 2024

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6028394567
Graduation Year
2021 (5 years ago)
PAC ID
3971034158
Group Practice PAC ID
2365746450
Professional Enrollment ID
I20240927002652
Address ID
AZ850062850PH1300XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,260 FAMILY PRACTICE in AZ

Provider Addresses for KEISHA A PIERRE-LYS (DO)

  • 865 N Arizola Rd

    Casa Grande, AZ 851226011

    Phone: (520) 208-2521

    Type: Location

  • 1111 E MCDOWELL RD

    PHOENIX, AZ 850062612

    Phone:

    Type: Mailing

  • 169 RIVERSIDE DR

    BINGHAMTON, NY 139054246

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Novo Nordisk Inc ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240927002652IFamily PracticeAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365746450View full group profile
NameSpecialtyState
Internal MedicineAZ
Family PracticeAZ
Family PracticeAZ
Internal MedicineNY
Internal MedicineAZ
Family PracticeAZ
Internal MedicineAZ
Physician AssistantAZ
-AZ
Family Practice, HospitalistAZ

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find KEISHA A PIERRE-LYS (DO)'s NPI?
You can confirm KEISHA A PIERRE-LYS (DO) with NPI 1225610348; it appears in the national provider directory.
Does this profile mean KEISHA A PIERRE-LYS (DO) is currently active?
Yes — KEISHA A PIERRE-LYS (DO) appears active in the national provider directory.
What kind of provider is KEISHA A PIERRE-LYS (DO)?
The page reflects Family Medicine Physician for KEISHA A PIERRE-LYS (DO). Clinical services aligned with this taxonomy classification.
Does KEISHA A PIERRE-LYS (DO) practice in Arizona?
You will see Casa Grande, Arizona on file for KEISHA A PIERRE-LYS (DO) alongside any extra practice locations.
What if Casa Grande, Arizona seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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