Individual provider Active NPI

Lisa A. Goularte, DO

  • Obesity Medicine (Obstetrics & Gynecology) Physician
  • Topeka, KS
National Provider Identifier
1265421481
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VB0002X
License
05-33496 Issued in KS
Practice address
3310 SE 29TH St
#300
Topeka, KS 66605-2090
Phone
(785) 270-7444
NPI assigned
Oct 20, 2005
Last updated
May 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Obstetrics & Gynecology) Physician 207VB0002X 05-33496 KS Primary

Addresses

Primary practice location

3310 SE 29TH St
#300
Topeka, KS 66605-2090

Mailing address

3310 SE 29TH St
#300
Topeka, KS 66605-2090
Phone (785) 270-7444

Other practice location 1

6001 SW 6th Ave
#220
Topeka, KS 66615-1011
Phone (785) 232-0444

Other identifiers 1

IdentifierTypeStateIssuer
200590510AMedicaidKS

Other names 1

  • Lisa Ann Mills Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20090304000029 KS Practitioner - Obstetrics/Gynecology 7517055635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
R Franklin University of Med & Sci/Chicago Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8108

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-33496KSMDObesity Medicine (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Nov 1, 2017 Accepting new patients
Topeka Physician Group, LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

3310 SE 29th St
Ste 300
Topeka, KS 66605
Phone (785) 270-7444

6001 SW 6th Ave
Ste 220
Topeka, KS 66615
Phone (785) 232-0444

634 SW Mulvane St
Topeka, KS 66606
Phone (785) 292-8385

634 SW Mulvane St
Ste 209
Topeka, KS 66606
Phone (785) 270-7336

Interoperability endpoints

  • Direct secure messaging: lgoularte191197@ahs.direct-ci.com

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 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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1265421481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 SE 29TH ST",
            "address_2": "#300",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052090",
            "telephone_number": "785-270-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 SE 29TH ST",
            "address_2": "#300",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052090",
            "telephone_number": "785-270-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 SW 6th Ave",
            "address_2": "#220",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666151011",
            "country_code": "US",
            "telephone_number": "785-232-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULARTE",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VB0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "KS",
            "license": "05-33496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200590510A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MILLS",
            "middle_name": "ANN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.