LISSETTE E. TIRADO (D.P.M.) – Podiatrist, NPI 1508866765

LISSETTE E. TIRADO (D.P.M.) is a healthcare provider. based in Lilburn, Georgia. specializing in Podiatrist. They hold the professional credentials D.P.M.. They hold a License No. 000729 (GA). The NPI Number for LISSETTE E. TIRADO (D.P.M.) is 1508866765

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
LISSETTE E. TIRADO (D.P.M.)
NPI
1508866765
Phone
(770) 935-4443
Address
625 BEAVER RUIN RD NW
Enumeration Date
28 July 2005
Last Update Date
27 August 2013

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
8022920578
Professional Enrollment ID
I20031104000015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LISSETTE E. TIRADO (D.P.M.)

  • 625, Beaver Ruin Road, Luxomni, Lilburn, Gwinnett County, Georgia, 30047, United States

    SUITE C

    LILBURN, GA 300473467

    Phone: (770) 935-4443

    Fax: (770) 935-4475

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2003-11-04

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
I20031104000015IPodiatryGATBD

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
G0127Trimming of dystrophic nails, any number2511$0
99213Established patient office or other outpatient visit, 20-29 minutes2311$0
99214Established patient office or other outpatient visit, 30-39 minutes2317$0
View full utilization report →

Insurance plans in this area (ZIP 30047)

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Reviews

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Frequently asked questions

What unique ID ties claims to LISSETTE E. TIRADO (D.P.M.)?
NPI 1508866765 is assigned to LISSETTE E. TIRADO (D.P.M.) under the national enumeration system.
Is LISSETTE E. TIRADO (D.P.M.) active in the national directory?
LISSETTE E. TIRADO (D.P.M.)'s public NPI profile is in an active state.
What does LISSETTE E. TIRADO (D.P.M.) treat or focus on?
Patients typically see LISSETTE E. TIRADO (D.P.M.) under the specialty Podiatrist. Clinical services aligned with this taxonomy classification.
What location shows for LISSETTE E. TIRADO (D.P.M.)?
We surface Lilburn, Georgia for LISSETTE E. TIRADO (D.P.M.) based on available NPPES addresses.
How can I contact LISSETTE E. TIRADO (D.P.M.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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