Individual provider Active NPI

Harvey Michael Lisch, D.P.M.

  • Podiatrist
  • Cedar Park, TX
National Provider Identifier
1477588622
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1286 Issued in TX
Practice address
601 E Whitestone Blvd
Suite #226
Cedar Park, TX 78613-9015
Phone
(512) 259-3338
Fax
(512) 528-1472
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1286 TX Primary

Addresses

Primary practice location

601 E Whitestone Blvd
Suite #226
Cedar Park, TX 78613-9015

Mailing address

601 E Whitestone Blvd
Suite #226
Cedar Park, TX 78613-9015
Phone (512) 259-3338

Other identifiers 1

IdentifierTypeStateIssuer
17809001MedicaidTX

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081226000130 TX Practitioner - Podiatry 3779471941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne a. Hurst, DPM, PAGroup PAC ID 6103843578, 3 clinicians

Practice addresses (Care Compare)

601 E Whitestone Blvd
Cedar Park, TX 78613-9022
Phone (512) 259-3338

Merit-based Incentive Payment System (MIPS)

Final score
91.55 of 100Reported as group
Quality
83.1
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue57
Removal of skin lesions23
Removal of nail tissue22
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1286TXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne a. Hurst, DPM, PA Podiatrist CurrentSince Oct 3, 2014 Accepting new patients
Atx Foot & Ankle PLLC PastSince Sep 27, 2016 Accepting new patients

Locations

601 E Whitestone Blvd
Ste 226
Cedar Park, TX 78613
Phone (512) 259-3338

1103 Rivery Blvd
Ste 160
Georgetown, TX 78628
Phone (512) 930-0707

1103 Rivery Blvd
Ste 255
Georgetown, TX 78628

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12869/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1477588622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E WHITESTONE BLVD",
            "address_2": "SUITE #226",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139015",
            "telephone_number": "512-259-3338",
            "fax_number": "512-528-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E WHITESTONE BLVD",
            "address_2": "SUITE #226",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139015",
            "telephone_number": "512-259-3338",
            "fax_number": "512-528-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISCH",
        "first_name": "HARVEY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17809001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.