Individual provider Active NPI

Lisa Joan Graves-Austin, M.D.

  • Internal Medicine Physician
  • Toledo, OH
National Provider Identifier
1508804634
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.146256 Issued in OH
Practice address
6800 W Central Ave Ste K
Toledo, OH 43617-1135
Phone
(419) 841-1510
Fax
(419) 841-1513
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L7399 TX
Internal Medicine Physician 207R00000X 35.146256 OH Primary

Addresses

Primary practice location

6800 W Central Ave Ste K
Toledo, OH 43617-1135

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 725-6427

Other identifiers 2

IdentifierTypeStateIssuer
160192401MedicaidTX
P00061338OtherMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VT, OH3 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
I20040628001482 TX Practitioner - Internal Medicine 5395721419 Reassigns benefits to 1 organization
I20190930002082 VT Practitioner - Internal Medicine 5395721419 Reassigns benefits to 5 organizations
I20230515002302 OH Practitioner - Internal Medicine 5395721419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 874-3246

6800 W Central Ave
Suite K
Toledo, OH 43617-1135
Phone (419) 841-1510

Hospital & facility affiliations

  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Med1Care, LLC Home health agency, Findlay, OH, CCN 368362
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.146256OHMDInternal Medicine Physician
20237SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region Inc CurrentSince Nov 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Toledo Clinic Incorporated Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Toledo Clinic Incorporated CurrentSince Jun 1, 2023 Accepting new patients
Community Health Centers of the Rutland Region Inc Current Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

1200 Medical Center Pkwy
Maumee, OH 43537
Phone (419) 794-7720

702 Commerce Dr
Ste 135
Perrysburg, OH 43551
Phone (419) 479-5469

7640 Sylvania Ave
Ste N
Sylvania, OH 43560
Phone (419) 517-7575

4126 N Holland Sylvania Rd
Ste 130
Toledo, OH 43623
Phone (419) 469-2038

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

6800 W Central Ave
Ste K
Toledo, OH 43617
Phone (419) 841-1510

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

1000 E 5th St
Ste 400
Tyler, TX 75701
Phone (903) 593-1749

1000 E 5th St
Tyler, TX 75701
Phone (903) 590-5000

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

420 Grove St
Brandon, VT 05733
Phone (802) 247-6305

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1508804634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-725-6427",
            "fax_number": "419-725-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 W CENTRAL AVE STE K",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171135",
            "telephone_number": "419-841-1510",
            "fax_number": "419-841-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES-AUSTIN",
        "first_name": "LISA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7399",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.146256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160192401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00061338",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.