Individual provider Active NPI

Lisa A Merritt, MD

  • Physical Medicine & Rehabilitation Physician
  • Sacramento, CA
National Provider Identifier
1407989973
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G58307 Issued in CA
Practice address
4860 Y St # 1700
Sacramento, CA 95817-2307
Phone
(916) 734-2737
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME97603 FL
Physical Medicine & Rehabilitation Physician 208100000X G58307 CA Primary

Addresses

Primary practice location

4860 Y St # 1700
Sacramento, CA 95817-2307

Mailing address

677 N Washington Blvd
Sarasota, FL 34236-4241
Phone (941) 225-8198

Other practice location 1

677 N Washington Blvd
Suite B
Sarasota, FL 34236-4241
Phone (941) 255-8198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070625000043 FL Practitioner - Physical Medicine and Rehabilitation 8820020753 Practice locations: Sarasota, FL
I20200417003390 AZ Practitioner - Physical Medicine and Rehabilitation 8820020753
I20230501001460 CA Practitioner - Physical Medicine and Rehabilitation 8820020753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Howard University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

4860 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2737

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G58307CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Regents of the Univ of Ca Physical Medicine & Rehabilitation CurrentSince Aug 1, 2023 Accepting new patients
Alameda Health System CurrentSince Aug 7, 2023 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Mar 1, 2023 Accepting new patients
Vibra Physicians LLC CurrentSince Mar 1, 2020 Accepting new patients
Alameda Health System Current Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Alameda Health System CurrentSince Aug 7, 2023 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 1, 2023 Accepting new patients
Braun Goodlander Rehabilitation & Fitness Services Past Accepting new patients
Kinesa Rehab Group Physical Medicine & Rehabilitation PastSince Jun 1, 2008 Accepting new patients

Locations

1851 N Gemini Dr
Flagstaff, AZ 86001
Phone (928) 266-0118

3700 N Windsong Dr
Prescott Vly, AZ 86314
Phone (575) 640-3382

5 E River Park Pl E
Ste 460
Fresno, CA 93720

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
#1700
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

Organizations & group practices 11

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1407989973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 N WASHINGTON BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364241",
            "telephone_number": "941-225-8198",
            "fax_number": "941-906-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST # 1700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-2737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 N WASHINGTON BLVD",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364241",
            "country_code": "US",
            "telephone_number": "941-255-8198",
            "fax_number": "941-906-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME97603",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G58307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.