Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457971962 Individual Practitioner Female Practitioner

Dr. Priscila Lisboa , MD

Pediatrics • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Priscila Lisboa, MD is a registered healthcare professional specializing in Pediatrics in Peoria, IL. Practice services are available at 530 NE GLEN OAK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

530 Ne Glen Oak Ave
Pob Suite 105

Peoria, IL 61637

Telephone 3096244100
Fax 2129394022
Associated Practice Facility / Clinic
🏢 University Of Illinois Facility NPI 1255301909

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
103 Specialists

Practicing in Peoria, IL (3277 Statewide)

Telehealth Adoption Rate
1.0% 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: 2026-02-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036.164484

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.

Pediatrics - Neonatal-Perinatal Medicine

NUCC Taxonomy Code: 2080N0001X

State License IL 036.164484

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Pediatrics - Neonatal-Perinatal Medicine

NUCC Taxonomy Code: 2080N0001X

State License FL ME179000

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL ME179000

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

17 Associated Practitioners
Dr. Carla Batres , MD

Student in an Organized Health Care Education/Training Program

NPI 1194457374

Doctor of Medicine (M.D.)

Dr. Somya Gomes , MBBS

Student in an Organized Health Care Education/Training Program

NPI 1194643809

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Sushma Shivananda , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1285313072

Doctor of Medicine (M.D.)

Dr. Pallavi Roy , MD

Student in an Organized Health Care Education/Training Program

NPI 1285474320

Doctor of Medicine (M.D.)

NPI 1376168344

Doctor of Medicine (M.D.)

Dr. Lori-Ann Leach , MBBS

Student in an Organized Health Care Education/Training Program

NPI 1386433340

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location February 20, 2026

Registered at 530 NE GLEN OAK AVE, POB SUITE 105, PEORIA, IL 61637 (Tel: 3096244100)

📍
Updated Business Mailing Address February 20, 2026

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 2398262306)

👤
Provider Name / Credentials Updated February 20, 2026

Recorded as PRISCILA LISBOA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2026

Pediatrics (License #036.164484 in IL)

NPI Profile Active April 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2020

Registered at 506 LENOX AVENUE, NEW YORK, NY 100371802 (Tel: 2129394019)

📍
Updated Business Mailing Address April 24, 2020

Registered at 506 LENOX AVENUE, NEW YORK, NY 100371802 (Tel: 2129394019)

👤
Provider Name / Credentials Updated April 24, 2020

Recorded as PRISCILA LOISBOA, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 24, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457971962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2020
Last Update: February 20, 2026
Sole Proprietor: No

Mailing Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Phone: 2398262306

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.