Individual provider Active NPI

Lisa Marie Haubert, M.D.

  • Colon & Rectal Surgery Physician
  • Sugar Land, TX
National Provider Identifier
1043422744
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
P7927 Issued in TX
Practice address
17510 W Grand Pkwy S Ste 490
Sugar Land, TX 77479-2649
Phone
(713) 772-1200
Fax
(713) 255-6315
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 57.011741 OH
Colon & Rectal Surgery Physician 208C00000X P7927 TX Primary

Addresses

Primary practice location

17510 W Grand Pkwy S Ste 490
Sugar Land, TX 77479-2649

Mailing address

13811 Murphy Rd
Stafford, TX 77477-4903
Phone (713) 772-1200

Other identifiers 1

IdentifierTypeStateIssuer
8FG853OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131205001370 TX Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 7517194145 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Ohio State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Surgical Associates LLPGroup PAC ID 3072553734, 19 clinicians

Practice addresses (Care Compare)

13811 Murphy Rd
Stafford, TX 77477-4903
Phone (713) 772-1200

23920 Katy Fwy
Suite 410
Katy, TX 77494-0881
Phone (713) 772-1200

Hospital & facility affiliations

  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.011741OHMDSurgery Physician
P7927TXMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Mar 2, 2020 Accepting new patients
TMH Physician Associates PLLC CurrentSince Mar 2, 2020 Accepting new patients
Swsa VBC PLLC Surgery CurrentSince Sep 23, 2024 Accepting new patients
Southwest Surgical Associates LLP CurrentSince Oct 7, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jan 1, 2016 Accepting new patients
Baylor College of Medicine Surgery CurrentSince Jan 1, 2016 Accepting new patients

Locations

7900 Fannin St
Ste 1200
Houston, TX 77054
Phone (713) 790-8020

7900 Fannin St
Ste 2700
Houston, TX 77054
Phone (713) 824-1172

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6560 Fannin St
Ste 1404
Houston, TX 77030
Phone (713) 441-5155

23920 Katy Fwy
Ste 410
Katy, TX 77494
Phone (832) 437-1410

13811 Murphy Rd
Stafford, TX 77477
Phone (713) 255-6300

16605 Southwest Fwy
Ste 430
Sugar Land, TX 77479
Phone (281) 242-3300

17510 W Grand Pkwy S
Ste 490
Sugar Land, TX 77479

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: lhaubert26548@directhoustonmethodist.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGBBDD/Endpoint/EGBBDD

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1043422744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13811 MURPHY RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774903",
            "telephone_number": "713-772-1200",
            "fax_number": "713-790-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S STE 490",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792649",
            "telephone_number": "713-772-1200",
            "fax_number": "713-255-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUBERT",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "57.011741",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "P7927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8FG853",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.