Desta Lissanu, MD
Psychiatry Physician · Boston, MA
Desta Lissanu, MD is a psychiatry physician with a practice address in Boston, Massachusetts, and NPI 1942769773, issued on Mar 19, 2019. Check the license (Massachusetts 290272, as entered in NPPES) on the Massachusetts Board of Registration in Medicine; the Medicare figures below come from public CMS files.
- Name
- Desta Lissanu
- Credential
- MD
- Primary taxonomy
- Psychiatry Physician 2084P0800X
- License number
- 290272 MA
Self-reported in NPPES; status is on the state search - Practice location
- 55 Fruit St, Boston, MA 02114
- Phone
- (617) 726-9550
- Enumerated
- Mar 19, 2019
- Record last updated
- Apr 16, 2023
- Medicare enrollment
- Enrolled (PECOS I20230606000588); accepts Medicare assignment
- Medical or professional school
- University Of Chicago, Pritzker School Of Medicine, 2019
- Entity
- Type 1 · individual
8 nearest psychiatry physician records → All 2,736 in Massachusetts → Look up another NPI →
Also registered at 55 Fruit St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Moustafa AbdallaStudent in an Organized Health Care Education/Training Program1952046062
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Verify Desta Lissanu in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMassachusetts Board of Registration in Medicine
Search for license 290272Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Massachusetts General Physicians Organization IncBoston, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Desta Lissanu among 2,736 psychiatry physician records in Massachusetts
Desta Lissanu, MD is one of 2,736 psychiatry physician records with a practice address in Massachusetts. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 89% of them.
- NPI issued2019 · 89% of these records are older, 9% newer
- In a Medicare fileYes · 65% of these records are
- In the CMS Doctors and Clinicians fileYes · 45% of these records are
- Graduated2019 · median 2005 among the 1,219 with a school on file
- Record last updated2023 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084P0800X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
845 psychiatry physician records list a practice address in Boston
They are 845 of the 41,865 NPPES records with a practice address in Boston, and 2,736 psychiatry physician records in Massachusetts.
All 2,736 in Massachusetts → Every provider in Boston → Psychiatry Physician nationwide →
The 8 psychiatry physician records with the nearest ZIP codes
- Steven Ablon, MDBoston, MA 021141083604839
- Barbara Beck, MDBoston, MA 021141720078272
- Judith Edersheim, MDBoston, MA 021141154311835
- Karleyton Evans, MDBoston, MA 021141407846058
- James Groves, MDBoston, MA 021141013906015
- John Herman, MDBoston, MA 021141275523961
- Rakesh Karmacharya, MD PHDBoston, MA 021141720078389
- Vaughn Mankey, MDBoston, MA 021141225028954
Common questions
What is Desta Lissanu, MD's NPI number?
Desta Lissanu, MD's National Provider Identifier (NPI) is 1942769773, issued on Mar 19, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Desta Lissanu, MD located?
The NPPES record lists a practice address at 55 Fruit St, Boston, MA, 02114. Phone: (617) 726-9550. Providers update this record themselves, so call before visiting.
How can I verify Desta Lissanu, MD's license?
NPPES lists Massachusetts license number 290272, as entered by the provider. Search the Massachusetts Board of Registration in Medicine at https://findmydoctor.mass.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.