Individual provider Active NPI

Lisa Joy Enders Grant, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Baltimore, MD
National Provider Identifier
1487642310
Registry record updated Jun 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
D62665 Issued in MD
Practice address
2700 Quarry Lake Dr
Suite 300
Baltimore, MD 21209-2230
Phone
(410) 377-8900
Fax
(410) 377-3156
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X D62665 MD Primary

Addresses

Primary practice location

2700 Quarry Lake Dr
Suite 300
Baltimore, MD 21209-2230

Mailing address

2700 Quarry Lake Dr
Suite 300
Baltimore, MD 21209-2230
Phone (410) 377-8900

Other identifiers 1

IdentifierTypeStateIssuer
408179000MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.enders.grant.1@9012.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050816000576 MD Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 3274563697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2700 Quarry Lake Dr
Baltimore, MD 21209-3742
Phone (410) 377-8900

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2016 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2016 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Pain Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Orthopaedic Specialty Center Past Accepting new patients

Locations

2700 Quarry Lake Dr
Ste 30
Baltimore, MD 21209

2700 Quarry Lake Dr
Ste 300
Baltimore, MD 21209

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

4 Park Center Ct
Ste 200
Owings Mills, MD 21117

4 Park Center Ct
Ste 102
Owings Mills, MD 21117
Phone (410) 377-3484

120 Westminster Pike
Ste 200
Reisterstown, MD 21136

Interoperability endpoints

  • Direct secure messaging: 38lgrant@cfaortho.emadirect.md

Organizations & group practices 6

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591401600000",
    "number": "1487642310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092230",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092230",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "LISA",
        "middle_name": "JOY ENDERS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D62665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408179000",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.enders.grant.1@9012.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2700 Quarry Lake Dr",
            "address_2": "Suite 300",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212092230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.