Active NPI
Michael James Lisieski
- Family Medicine Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.148139
- Practice address
- 3333 Glendale Ave
Toledo, OH 43614-2426 - Phone
- (419) 383-5555
- Fax
- (419) 383-3113
- NPI assigned
- Apr 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.148139 | OH | Primary |
Addresses
Primary practice location
3333 Glendale Ave
Toledo, OH 43614-2426
Mailing address
3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, UT, AL, AZ, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 Glendale Ave
Toledo, OH 43614-2426
Phone (419) 383-5550
Hospital & facility affiliations
- University of Toledo Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.34 of 100
- Quality
- 69.17
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.148139 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Toledo Physicians LLC | Current | Accepting new patients |
Locations
L4189
Columbus, OH 43260
3000 Arlington Ave
#1108
Toledo, OH 43614
Phone (419) 383-5330
3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614
3000 Arlington Ave
Stop 1108
Toledo, OH 43614
3333 Glendale Ave
Toledo, OH 43614
Phone (419) 259-2000
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1023637741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 ARLINGTON AVE STOP 1108",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 GLENDALE AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142426",
"telephone_number": "419-383-5555",
"fax_number": "419-383-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISIESKI",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-13",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.148139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.