Individual provider Active NPI

Lisa Sophie Schocket, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Baltimore, MD
National Provider Identifier
1225029929
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
D62968 Issued in MD
Practice address
419 W Redwood St Ste 420
Baltimore, MD 21201-7002
Phone
(667) 214-1232
Fax
(410) 328-1178
NPI assigned
Nov 2, 2005
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X D62968 MD Primary

Addresses

Primary practice location

419 W Redwood St Ste 420
Baltimore, MD 21201-7002

Mailing address

419 W Redwood St Ste 470
Baltimore, MD 21201-7009
Phone (667) 214-1232

Other practice location 1

21 Crossroads Dr
Suite #425
Owings Mills, MD 21117-5441
Phone (410) 581-2020

Other identifiers 3

IdentifierTypeStateIssuer
002986600MedicaidMD
369015OtherMDALLIED EYE CARE
4193OtherMDELDERHEALTH ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050613000446 MD Practitioner - Ophthalmology 5799729620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (667) 214-1111

419 W Redwood St
Suite 420
Baltimore, MD 21201-7002
Phone (667) 214-1111

827 Linden Ave
Baltimore, MD 21201-4606
Phone (667) 214-1111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Eye Associates, P.a. CurrentSince May 1, 2008 Accepting new patients
University of Maryland Eye Associates, P.a. CurrentSince May 1, 2008 Accepting new patients

Locations

419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533

419 W Redwood St
Ste 470
Baltimore, MD 21201
Phone (667) 214-1197

20 Crossroads Dr
Ste 113
Owings Mills, MD 21117

Interoperability endpoints

  • Direct secure messaging: lschocket6439@direct.umm.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1225029929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST STE 470",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212017009",
            "telephone_number": "667-214-1232",
            "fax_number": "410-328-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST STE 420",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212017002",
            "telephone_number": "667-214-1232",
            "fax_number": "410-328-1178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Crossroads Dr",
            "address_2": "Suite #425",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175441",
            "country_code": "US",
            "telephone_number": "410-581-2020",
            "fax_number": "410-654-9264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOCKET",
        "first_name": "LISA",
        "middle_name": "SOPHIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MD",
            "license": "D62968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002986600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIED EYE CARE",
            "identifier": "369015",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERHEALTH ID#",
            "identifier": "4193",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.