Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952309924 Individual Practitioner Female Practitioner

Dr. Lisa Menillo , MD

Pediatrics • Bristol, CT

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Menillo, MD is a registered healthcare professional specializing in Pediatrics in Bristol, CT. Practice services are available at 1301 FARMINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1301 Farmington Ave

Bristol, CT 060104776

Telephone 8605894501
Fax 8605894502
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bristol, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Bristol, CT (1087 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CT 030842

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
001308429 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Joseph Labell , MHS, PA-C

Physician Assistant

NPI 1073278297

MHS, Physician Assistant (Certified)

Allyson Reynolds , APRN

Nurse Practitioner - Pediatrics

NPI 1104691898

Advanced Practice Registered Nurse

NPI 1194434308

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

NPI 1528120094

Doctor of Medicine (M.D.)

Mary Catherine Mieczkowski , APRN PNP BC

Nurse Practitioner - Pediatrics

NPI 1679736870

APRNPNPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 08, 2020

Registered at 1301 FARMINGTON AVE, BRISTOL, CT 060104776 (Tel: 8605894501)

📍
Updated Business Mailing Address October 08, 2020

Registered at 1301 FARMINGTON AVE, BRISTOL, CT 060104776 (Tel: 8605894501)

NPI Profile Active February 27, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2009

Registered at 1000 ASYLUM AVE, SUITE 1026, HARTFORD, CT 061051770 (Tel: 8607144332)

📍
Updated Business Mailing Address February 27, 2009

Registered at 1000 ASYLUM AVE, SUITE 2109A, HARTFORD, CT 061051770 (Tel: 8607146581)

👤
Provider Name / Credentials Updated February 27, 2009

Recorded as LISA MENILLO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2009

Pediatrics (License #030842 in CT)

🟢
Initial NPI Registration & Enumeration July 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Lisa Menillo. Be the first to share your experience!

Sign in to leave a review for Dr. Lisa Menillo

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1952309924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2005
Last Update: October 08, 2020
Sole Proprietor: No

Mailing Address

1301 Farmington Ave

Bristol, CT 060104776

Phone: 8605894501

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.