Individual provider Active NPI

Lisa Ann Smith, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • San Antonio, TX
National Provider Identifier
1366767378
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
Q1503 Issued in TX
Practice address
1122 Austin Hwy
San Antonio, TX 78209-4844
Phone
(210) 342-6488
Fax
(210) 342-6725
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X Q1503 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Q1503 TX Primary

Addresses

Primary practice location

1122 Austin Hwy
San Antonio, TX 78209-4844

Mailing address

1122 Austin Hwy
San Antonio, TX 78209-4844
Phone (210) 342-6488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20141024000257 TX Practitioner - Pathology 5496976003 Reassigns benefits to 1 organization
I20251221000177 SC Practitioner - Pathology 5496976003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Western University of Health Sciences College of Dental Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Austin Pathology AssociatesGroup PAC ID 7012902539, 76 clinicians

Practice addresses (Care Compare)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441

Hospital & facility affiliations

  • Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101
  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q1503TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Pathology Associates CurrentSince Nov 1, 2019 Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2025 Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2025 Accepting new patients
Austin Pathology Associates Cytopathology CurrentSince Nov 1, 2019 Accepting new patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations (25 of 29)

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400

3131 University Dr E
Bryan, TX 77802
Phone (979) 680-1888

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

1101 Woodson Dr
Caldwell, TX 77836
Phone (409) 567-3245

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

601 N 19th St
Corpus Christi, TX 78408
Phone (361) 881-3035

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

100 W Cross St
Madisonville, TX 77864
Phone (409) 348-2631

210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585

3201 S Loop 256
Ste 800
Palestine, TX 75801
Phone (903) 723-0330

1122 Austin Hwy
San Antonio, TX 78209
Phone (210) 342-6488

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1366767378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 AUSTIN HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094844",
            "telephone_number": "210-342-6488",
            "fax_number": "210-342-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 AUSTIN HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094844",
            "telephone_number": "210-342-6488",
            "fax_number": "210-342-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "TX",
            "license": "Q1503",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "Q1503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.