DR. JONATHAN BRIAN LIS (MD) – Internal Medicine Physician, NPI 1528558939

DR. JONATHAN BRIAN LIS (MD) is a healthcare provider. based in New preston marble dale, Connecticut. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 67341 (CT). The NPI Number for DR. JONATHAN BRIAN LIS (MD) is 1528558939

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN BRIAN LIS (MD)
NPI
1528558939
Phone
(860) 868-8932
Address
125 NEW MILFORD TPKE
Enumeration Date
11 May 2018
Last Update Date
28 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8608688932
Graduation Year
2018 (8 years ago)
PAC ID
0244585859
Group Practice PAC ID
8921355157
Professional Enrollment ID
I20210506000799
Address ID
CT067771703NE125XXTPKE400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,448 INTERNAL MEDICINE in CT

Provider Addresses for DR. JONATHAN BRIAN LIS (MD)

  • 125 NEW MILFORD TPKE

    NEW PRESTON MARBLE DALE, CT 067771703

    Phone: (860) 868-8932

    Fax: (860) 868-7310

    Type: Mailing

  • 20 ISHAM RD STE 150

    WEST HARTFORD, CT 061072204

    Phone: (860) 527-1669

    Type: Mailing

  • Yale New Haven Hospital, 20, York Street, Downtown, New Haven, New Haven County, Connecticut, 06510, United States

    YNHH - TOMPKINS 226

    NEW HAVEN, CT 065103220

    Phone: (203) 688-4242

    Type: Mailing

  • 140 GRANDVIEW AVE STE L04

    WATERBURY, CT 067082518

    Phone: (860) 868-8932

    Fax: (860) 868-7310

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $1,459.

Total Amount is formed as General ($1,459) + Research ($0) + Ownership ($0) = $1,459.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($218).

Total Amount

$1,459

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,459

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-05-06

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
I20210506000799IInternal MedicineCTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes185131$0
99213Established patient office or other outpatient visit, 20-29 minutes169115$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7979$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2826$0
View full utilization report →

Insurance plans in this area (ZIP 06777)

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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: 8921355157View full group profile
NameSpecialtyState
Family PracticeCT
General PracticeCT

Reviews

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Frequently asked questions

What is the standard ID for DR. JONATHAN BRIAN LIS (MD) in the U.S.?
In the U.S., DR. JONATHAN BRIAN LIS (MD) is identified by NPI 1528558939.
Does the public listing show DR. JONATHAN BRIAN LIS (MD) as active?
DR. JONATHAN BRIAN LIS (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. JONATHAN BRIAN LIS (MD) does?
Insurance directories may phrase it differently, but here DR. JONATHAN BRIAN LIS (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JONATHAN BRIAN LIS (MD)?
The directory associates DR. JONATHAN BRIAN LIS (MD) with New Preston Marble Dale, Connecticut. Check all listed addresses for suites or satellite offices.
Can I export DR. JONATHAN BRIAN LIS (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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