DR. EMMY LISSA OH (MD) – Hospitalist Physician, NPI 1104014471

DR. EMMY LISSA OH (MD) is a healthcare provider. based in Yakima, Washington. specializing in HOSPITALIST. They hold the professional credentials MD. They hold a License No. MD60069044 (WA). The NPI Number for DR. EMMY LISSA OH (MD) is 1104014471

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. EMMY LISSA OH (MD)
NPI
1104014471
Phone
(509) 248-7849
Address
2811 TIETON DRIVE
Enumeration Date
11 October 2007
Last Update Date
1 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2534266341
Graduation Year
2003 (23 years ago)
PAC ID
9537213509
Group Practice PAC ID
0547173866
Professional Enrollment ID
I20090811000446
Address ID
WA983325812GI11567NWXX400

Contacts

Secure Messaging
eoh175337@fhsce.catholichealth.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

1,188 HOSPITALIST in WA

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Provider Addresses for DR. EMMY LISSA OH (MD)

  • Virginia Mason Memorial, 2811, Tieton Drive, Yakima, Yakima County, Washington, 98902, United States

    PO BOX 2947

    YAKIMA, WA 989023761

    Phone: (509) 248-7849

    Fax: (509) 249-5042

    Type: Mailing

  • 11567 CANTERWOOD BLVD

    GIG HARBOR, WA 983325812

    Phone: (253) 426-6341

    Fax: (253) 759-4699

    Type: Location

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: 2009-08-11

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
I20090811000446IHospitalistWATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes396222$0
99239Hospital discharge day management, more than 30 minutes226215$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15786$0
99497Advance care planning, first 30 minutes6454$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th5032$0
View full utilization report →

Insurance plans in this area (ZIP 98902)

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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: 0547173866View full group profile

Reviews

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Frequently asked questions

Can I verify DR. EMMY LISSA OH (MD) with an NPI only?
You can start verification with NPI 1104014471 for DR. EMMY LISSA OH (MD), then check state licensing separately.
Does the file indicate DR. EMMY LISSA OH (MD) is practicing under active NPI?
Directory data currently reports DR. EMMY LISSA OH (MD) as active.
What taxonomy line describes DR. EMMY LISSA OH (MD)?
For research purposes, treat DR. EMMY LISSA OH (MD) as Hospitalist Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. EMMY LISSA OH (MD)?
DR. EMMY LISSA OH (MD)'s geographic hint is Yakima, Washington in our summary view.
Why does DR. EMMY LISSA OH (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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