Active NPI
Lisardo Garcia, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME98643
- Practice address
- 8950 N Kendall Dr Ste 607W
Miami, FL 33176-2139 - Phone
- (786) 596-1230
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | U2849 | TX | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME98643 | FL | Primary |
Addresses
Primary practice location
8950 N Kendall Dr Ste 607W
Miami, FL 33176-2139
Mailing address
8950 N Kendall Dr Ste 607
Miami, FL 33176-2139
Phone (786) 596-1230
Other practice location 1
707 E Marshall Ave
Longview, TX 75601-5545
Phone (903) 315-5400
Other names 1
- Dr. Lisardo Garcia Covarrubias
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
700 E Marshall Ave
Christus Trinity Clinic
Longview, TX 75601-5580
Phone (903) 315-1488
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Christus Good Shepherd Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U2849 | TX | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Lamelas and Associates | Past | Accepting new patients |
Locations
707 E Marshall Ave
Longview, TX 75601
Phone (903) 315-4880
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- lisardog@cerner.directbaptisthealth.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 and National Provider Directory roles.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Specialist
- Miami, FL
- NPI 1467526533
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1407057201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 N KENDALL DR STE 607",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762139",
"telephone_number": "786-596-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 N KENDALL DR STE 607W",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762139",
"telephone_number": "786-596-1230"
}
],
"practiceLocations": [
{
"address_1": "707 E Marshall Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015545",
"country_code": "US",
"telephone_number": "903-315-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "LISARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "U2849",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME98643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISARDO",
"last_name": "GARCIA COVARRUBIAS",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.