NPIMap

Individual provider Active NPI

Scott Anthony Lisse, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1346245818
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H8118 Issued in TX
Practice address
4543 Post Oak Place Drive
Ste 105
Houston, TX 77027
Phone
(713) 797-1087
Fax
(713) 797-9814
NPI assigned
Jun 20, 2005
Last updated
Aug 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H8118 TX Primary

Addresses

Primary practice location

4543 Post Oak Place Drive
Ste 105
Houston, TX 77027

Mailing address

4543 Post Oak Place Drive
Ste 105
Houston, TX 77027
Phone (713) 797-1087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000062 TX Practitioner - Internal Medicine 3476450131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Baylor College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

9055 Katy Fwy
Suite 200
Houston, TX 77024-1629
Phone (346) 646-4954

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H8118TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Villagemd of Southeast Texas, PA Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Concord Radiology PLLC Past Accepting new patients

Locations

4543 Post Oak Place Dr
Ste 105
Houston, TX 77027
Phone (713) 797-1087

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

Interoperability endpoints

  • Direct secure messaging: scott.lisse.1@13711.direct.athenahealth.com
  • Direct secure messaging: scott.lisse.1@21774.direct.athenahealth.com

Organizations & group practices 3

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 10

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1346245818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 POST OAK PLACE DRIVE",
            "address_2": "STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77027",
            "telephone_number": "713-797-1087",
            "fax_number": "713-797-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 POST OAK PLACE DRIVE",
            "address_2": "STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77027",
            "telephone_number": "713-797-1087",
            "fax_number": "713-797-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISSE",
        "first_name": "SCOTT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H8118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.