Individual provider Active NPI

Lisa Shaw, MD

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1487972394
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
Q3438 Issued in TX
Practice address
4242 Medical Dr
Suite 3100
San Antonio, TX 78229-5640
Phone
(210) 615-1187
Fax
(210) 614-2180
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Q3438 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X MI

Addresses

Primary practice location

4242 Medical Dr
Suite 3100
San Antonio, TX 78229-5640

Mailing address

PO Box 34717
San Antonio, TX 78265-4717
Phone (210) 615-1187

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819009035 TX Practitioner - Anesthesiology 0648585604 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Perelman School of Med at the University of Pennsylvania, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Cardiovascular AnesthesiaGroup PAC ID 1951839414, 12 clinicians

Practice addresses (Care Compare)

12446 W Ave
Suite 200
San Antonio, TX 78216-2530
Phone (210) 525-1668

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q3438TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Anesthesia Providers PLLC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Baylor College of Medicine CurrentSince Jan 21, 2020 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Compass Anesthesia Providers PLLC Anesthesiology CurrentSince Jan 15, 2021 Accepting new patients
Austin Anesthesiology Group, PLLC Anesthesiology CurrentSince Aug 24, 2022 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Anesthesiology CurrentSince Aug 15, 2022 Accepting new patients
South Texas Cardiovascular Anesthesia Anesthesiology CurrentSince Dec 9, 2024 Accepting new patients
Texans Anesthesia Associates PLLC Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Baylor College of Medicine CurrentSince Jan 21, 2020 Accepting new patients
Austin Anesthesiology Group PLLC Anesthesiology CurrentSince Aug 24, 2022 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

510 W Tidwell Rd
Houston, TX 77091
Phone (281) 618-8500

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1475 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 369-9001

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

12446 West Ave
Ste 200
San Antonio, TX 78216
Phone (210) 690-0230

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900

2225 Williams Trace Blvd
Ste 108
Sugar Land, TX 77478
Phone (281) 240-4300

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1487972394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34717",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782654717",
            "telephone_number": "210-615-1187",
            "fax_number": "210-614-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR",
            "address_2": "SUITE 3100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295640",
            "telephone_number": "210-615-1187",
            "fax_number": "210-614-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q3438",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.