Individual provider Active NPI

Lisa F Stanken, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1023008232
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35900 Issued in KY
Practice address
4440 Red Bank Rd Ste 110
Cincinnati, OH 45227-2177
Phone
(513) 564-1366
Fax
(513) 564-1367
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35900 KY Primary

Addresses

Primary practice location

4440 Red Bank Rd Ste 110
Cincinnati, OH 45227-2177

Mailing address

935 State Route 28
Milford, OH 45150-1957
Phone (513) 831-5955

Other practice location 1

650 Sprucewood Ln
Erlanger, KY 41018-1062
Phone (859) 282-6600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lstanken68223@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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
I20040921000613 KY Practitioner - Family Practice 0244208973 Reassigns benefits to 2 organizations
I20100201000810 OH Practitioner - Family Practice 0244208973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Health Network Urgent Care, LLCGroup PAC ID 9931388246, 16 clinicians

Practice addresses (Care Compare)

1955 Dixie Hwy
Suite F
Ft Wright, KY 41011-2882
Phone (859) 292-9176

6560 Harrison Ave
Cincinnati, OH 45247-7823
Phone (513) 574-9700

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Merit-based Incentive Payment System (MIPS)

Final score
89.46 of 100Reported as group
Quality
87.03
Promoting interoperability
100
Improvement activities
40
Cost
77.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Park Medical Associates, Inc. Current Accepting new patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince Jun 5, 2017 Accepting new patients
Urgent Care Specialists, LLC Past Accepting new patients
CG Medical Associates Inc Family Medicine PastSince Dec 1, 2021 Accepting new patients

Locations

1955 Dixie Hwy
Ste F
Ft Wright, KY 41011
Phone (859) 292-9176

2156 Chamber Center Dr
Lakeside Park, KY 41017
Phone (859) 282-6700

6560 Harrison Ave
Cincinnati, OH 45247
Phone (513) 564-1366

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

4440 Red Bank Rd
Ste 110
Cincinnati, OH 45227
Phone (513) 564-1366

237 Wm Howard Taft Rd
Cincinnati, OH 45219
Phone (513) 351-9900

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1023008232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 STATE ROUTE 28",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501957",
            "telephone_number": "513-831-5955",
            "fax_number": "513-831-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 RED BANK RD STE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452272177",
            "telephone_number": "513-564-1366",
            "fax_number": "513-564-1367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Sprucewood Ln",
            "address_purpose": "LOCATION",
            "city": "Erlanger",
            "state": "KY",
            "postal_code": "410181062",
            "country_code": "US",
            "telephone_number": "859-282-6600",
            "fax_number": "859-282-8817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANKEN",
        "first_name": "LISA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "35900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lstanken68223@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4440 Red Bank Rd Ste 110",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452272177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.