ROBERT PHILIP LISAK (MD) – Neurology Physician, NPI 1235176835

ROBERT PHILIP LISAK (MD) is a healthcare provider. based in Troy, Michigan. specializing in Neurology Physician. They hold the professional credentials MD. They hold a License No. 4301051038 (MI). The NPI Number for ROBERT PHILIP LISAK (MD) is 1235176835

Main info

Male
61 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT PHILIP LISAK (MD)
NPI
1235176835
Phone
(313) 745-4275
Address
1560 E MAPLE RD
Enumeration Date
1 June 2006
Last Update Date
27 October 2016

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
3137454275
Graduation Year
1965 (61 years ago)
PAC ID
6800795089
Group Practice PAC ID
8628087681
Professional Enrollment ID
I20060711000103
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERT PHILIP LISAK (MD)

  • 1560, East Maple Road, Troy, Oakland County, Michigan, 48083, United States

    SUITE 400-CREDENTIALING

    TROY, MI 480831138

    Phone: (313) 745-4275

    Fax: (313) 745-4468

    Type: Mailing

  • Detroit Receiving Hospital and University Health Center, 4201, Saint Antoine Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    SUITE 8A & 8B

    DETROIT, MI 482012153

    Phone: (313) 745-4275

    Fax: (313) 745-4468

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $6,006.

Total Amount is formed as General ($6,006) + Research ($0) + Ownership ($0) = $6,006.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: ARGENX US, INC. ($2,831).

Total Amount

$6,006

General + Research + Ownership

Payments

5

Total payment records

General Amount

$6,006

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2006-07-11

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
I20060711000103INeurologyMITBD

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 48083)

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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: 8628087681View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
H O S P I T A L I S TMI
-MI
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)MI
Internal Medicine, Infectious DiseaseMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Pulmonary Disease, Critical Care (Intensivists)MI
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ROBERT PHILIP LISAK (MD)?
ROBERT PHILIP LISAK (MD) — NPI 1235176835 — is the standard way to identify this listing.
Can I rely on ROBERT PHILIP LISAK (MD) being an active provider?
As of the registry snapshot, ROBERT PHILIP LISAK (MD) is marked active.
What is ROBERT PHILIP LISAK (MD)'s primary classification?
Neurology Physician is the headline specialty for ROBERT PHILIP LISAK (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for ROBERT PHILIP LISAK (MD)?
ROBERT PHILIP LISAK (MD)'s geographic hint is Troy, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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