Individual provider Active NPI

Lisa D Grunebaum, MD

  • Otolaryngology Physician
  • Scottsdale, AZ
National Provider Identifier
1003863093
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
64651 Issued in AZ
Practice address
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone
(480) 301-8000
NPI assigned
May 27, 2006
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 64651 AZ Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X ME95654 FL

Addresses

Primary practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Mailing address

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000

Other practice location 1

1666 NW 10th Ave
Box 016960 M851
Miami, FL 33136-1015
Phone (305) 243-7688

Other practice location 2

1401 N Federal Hwy
Boca Raton, FL 33432-1925
Phone (561) 955-8885

Other practice location 3

9897 Hagen Ranch Rd
Boynton Beach, FL 33472-7400
Phone (561) 364-7774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060816000389 FL Practitioner - Otolaryngology 1658374418 Reassigns benefits to 2 organizations
I20220124001951 AZ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 1658374418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brenda Latowsky M.D. P.L.C.Group PAC ID 3678741626, 11 clinicians

Practice addresses (Care Compare)

8841 E Bell Rd
Suite 201
Scottsdale, AZ 85260-1984
Phone (480) 398-1550

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
78.27
Promoting interoperability
100
Improvement activities
40
Cost
76.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64651AZMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
Brenda Latowsky M.D. P.L.C. CurrentSince Aug 13, 2025 Accepting new patients
Siperstein Dermatology Group, PLLC CurrentSince Mar 1, 2020 Accepting new patients
University of Miami Past Accepting new patients
Synergy Dermatology LLC PastSince Mar 1, 2020 Accepting new patients

Locations

7125 E Lincoln Dr
Ste A101
Paradise Valley, AZ 85253
Phone (480) 398-1550

20201 N Scottsdale Rd
Ste 260
Scottsdale, AZ 85255
Phone (480) 398-1550

8841 E Bell Rd
Ste 201
Scottsdale, AZ 85260
Phone (480) 398-1550

1401 N Federal Hwy
Boca Raton, FL 33432
Phone 5613647774 ext. 327

950 Glades Rd
Fl 4
Boca Raton, FL 33431
Phone (561) 750-8666

9897 Hagen Ranch Rd
Boynton Beach, FL 33437
Phone (561) 364-7774

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1003863093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "telephone_number": "480-301-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1666 NW 10th Ave",
            "address_2": "Box 016960 M851",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361015",
            "country_code": "US",
            "telephone_number": "305-243-7688",
            "fax_number": "305-243-8470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334321925",
            "country_code": "US",
            "telephone_number": "561-955-8885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9897 Hagen Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334727400",
            "country_code": "US",
            "telephone_number": "561-364-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUNEBAUM",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "64651",
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "FL",
            "license": "ME95654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.