Individual provider Active NPI

Lisa Marie Taylor, MD

  • Diagnostic Radiology Physician
  • Lakewood, CO
National Provider Identifier
1205036662
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
45448 Issued in CO
Practice address
1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208
Phone
(303) 914-8800
Fax
(303) 716-3777
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 45448 CO
Diagnostic Radiology Physician 2085R0202X 45448 CO Primary

Addresses

Primary practice location

1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208

Mailing address

1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208
Phone (303) 914-8800

Other identifiers 1

IdentifierTypeStateIssuer
85332216MedicaidCO

Other names 1

  • Lisa Marie Niebergall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NC, UT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070927000079 CO Practitioner - Diagnostic Radiology 4385739069 Reassigns benefits to 15 organizations
I20131202001129 NC Practitioner - Diagnostic Radiology 4385739069 Reassigns benefits to 1 organization
I20180328001806 UT Practitioner - Diagnostic Radiology 4385739069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
M and B Imaging, PCGroup PAC ID 1557623782, 69 clinicians
Radiology LTD LLCGroup PAC ID 6204727589, 107 clinicians
Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians
Diversified Radiology of Colorado IncGroup PAC ID 0143132316, 92 clinicians
Charlotte Radiology PAGroup PAC ID 4587577390, 222 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

Castle Pines, CO 80108
Phone (470) 252-3422

Edwards, CO 81632
Phone (520) 795-2889

1280 Village Rd
Avon, CO 81620-5374
Phone (970) 949-0800

1375 E 19TH Ave
Denver, CO 80218-1114
Phone (303) 914-8800

1600 Prairie Ctr Pkwy
Brighton, CO 80601-4006
Phone (303) 914-8800

1719 E 19TH Ave
Denver, CO 80218-1235
Phone (303) 914-8800

1746 Cole Blvd
Suite 100
Lakewood, CO 80401-3208
Phone (704) 334-7800

181 W Meadow Dr
Vail Health Hospital
Vail, CO 81657-5242
Phone (970) 476-2451

225 Eagle Crest Dr
Rangely, CO 81648-3105
Phone (303) 914-8800

365 Dillon Ridge Rd
Suite 1200
Dillon, CO 80435-6344
Phone (303) 914-8800

377 Sylvan Lake Rd
Suite 130
Eagle, CO 81631-6779
Phone (303) 914-8800

4567 E 9TH Ave
Denver, CO 80220-3908
Phone (303) 914-8800

50 Buck Creek Rd
Suite 100
Avon, CO 81620-5428
Phone (303) 914-8800

Castle Pines, CO 80108-9537
Phone (843) 792-1414

9191 Grant St
Thornton, CO 80229-4361
Phone (303) 914-8800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45448COMDPediatric Radiology Physician
2388MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
M & B Imaging, PC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Feb 1, 2026 Accepting new patients
Musc Community Physicians CurrentSince Aug 26, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jun 2, 2025 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Colorado Permanente Medical Group, P.C. Diagnostic Radiology CurrentSince Mar 10, 2015 Accepting new patients
Touchstone Imaging of Pensacola, LLC CurrentSince May 5, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Feb 10, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Feb 1, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jan 29, 2026 Accepting new patients
Vail Clinic, Inc. CurrentSince Nov 1, 2007 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Sep 13, 2019 Accepting new patients
Vail Clinic, Inc. CurrentSince Nov 1, 2007 Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2016 Accepting new patients
Austin Radiological Association CurrentSince Oct 1, 2017 Accepting new patients
Musc Community Physicians Diagnostic Radiology CurrentSince Aug 26, 2024 Accepting new patients
Singleton Associates PA Pediatric Radiology CurrentSince Jul 1, 2019 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Jan 1, 2026 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Sep 12, 2019 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jul 30, 2020 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Touchstone Imaging of Pensacola, LLC CurrentSince Mar 1, 2020 Accepting new patients
Radiology LTD., LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Diversified Radiology of Colorado, Inc Diagnostic Radiology CurrentSince Aug 1, 2007 Accepting new patients
Spectrum Medical Imaging, LLC Diagnostic Radiology CurrentSince Mar 14, 2016 Accepting new patients
Mountain Medical Physician Specialists PC Pediatric Radiology CurrentSince Jun 10, 2017 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Feb 1, 2026 Accepting new patients
Norton Clark Physician Practices, LLC Family Medicine CurrentSince Jun 23, 2022 Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients
Scottsdale Medical Imaging, LTD Diagnostic Radiology Past Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology PastSince Mar 14, 2016 Accepting new patients
Flatirons Radiology, LLC Pediatric Radiology Past Accepting new patients

Locations (25 of 73)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198

3645 S Rome St
Ste 101
Gilbert, AZ 85297

665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

5310 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 978-0892

18275 N 59th Ave
Ste 168K
Glendale, AZ 85308
Phone (602) 889-1977

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600

1450 S Dobson Rd
Ste A100
Mesa, AZ 85202
Phone (480) 545-9779

10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490

10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699

9305 W Thomas Rd
Ste 200
Phoenix, AZ 85037
Phone (623) 465-6693

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

18444 N 25th Ave
Ste 140
Phoenix, AZ 85023
Phone (623) 465-6940

20940 N Tatum Blvd
Ste 390
Phoenix, AZ 85050
Phone (480) 407-0060

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 35

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.

View all 35

Hospital & facility affiliations 12

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1205036662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 COLE BLVD",
            "address_2": "SUITE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013208",
            "telephone_number": "303-914-8800",
            "fax_number": "303-716-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 COLE BLVD",
            "address_2": "SUITE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013208",
            "telephone_number": "303-914-8800",
            "fax_number": "303-716-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CO",
            "license": "45448",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "45448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85332216",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "NIEBERGALL",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.