Active NPI
Lisa Renee Clay, M.D.
- Family Medicine Physician
- Carmel, IN
National Provider Identifier
1124228010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01065883A
- Practice address
- 90 Executive Dr Suite a & B
Carmel, IN 46032 - Phone
- (317) 804-4203
- Fax
- (317) 564-0627
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- 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 | 01065883A | IN | Primary |
Addresses
Primary practice location
90 Executive Dr Suite a & B
Carmel, IN 46032
Mailing address
90 Executive Dr Suite a & B
Carmel, IN 46032
Phone (317) 804-4203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200931520A | Medicaid | IN |
Other names 1
- Lisa Renee Ward
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 12, 2024 through Dec 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Restorative Medicine | Family Medicine | Current | Accepting new patients |
| Union Hospital Inc. | Current | Accepting new patients | |
| Icem-Ball, LLC | Past | Accepting new patients | |
| Emgi-Ball, LLC | Past | Accepting new patients | |
| Emergency Physicians of Delaware County, P.C. | Past | Accepting new patients |
Locations
90 Executive Dr
Ste A
Carmel, IN 46032
Phone (317) 804-4203
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Interoperability endpoints
- lclay654956@direct.parkviewexchange.com
- lclay@unionhealth.cernerdirect.com
- lclay541473@ecommunitydirect.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Carmel, IN
- NPI 1215705926
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- Emergency Medicine Physician
- Muncie, IN
- NPI 1417956384
-
- Emergency Medicine Physician
- Muncie, IN
- NPI 1306072434
-
- Emergency Medicine Physician
- Muncie, IN
- NPI 1316273691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1124228010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 EXECUTIVE DR SUITE A & B",
"city": "CARMEL",
"state": "IN",
"postal_code": "46032",
"telephone_number": "317-804-4203",
"fax_number": "317-564-0627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 EXECUTIVE DR SUITE A & B",
"city": "CARMEL",
"state": "IN",
"postal_code": "46032",
"telephone_number": "317-804-4203",
"fax_number": "317-564-0627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "LISA",
"middle_name": "RENEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01065883A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200931520A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "WARD",
"middle_name": "RENEE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.