Individual provider Active NPI

Lisa Patel, PA

  • Physician Assistant
  • Richmond, TX
National Provider Identifier
1629533294
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12505 Issued in TX
Practice address
10615 W Grand Pkwy S
Richmond, TX 77407-8692
Phone
(281) 637-7390
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA12505 TX Primary

Addresses

Primary practice location

10615 W Grand Pkwy S
Richmond, TX 77407-8692

Mailing address

2727 Revere St Apt 3050
Houston, TX 77098-1380

Other practice location 1

1327 Lake Pointe Pkwy Ste 150
Sugar Land, TX 77478-4098
Phone (281) 637-8920

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191001001411 TX Practitioner - Physician Assistant 9931439163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

10615 W Grand Pkwy S
Richmond, TX 77407-8692
Phone (281) 637-7390

17198 St Lukes Way
Suite 440
The Woodlands, TX 77384-8015
Phone (936) 266-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12505TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CLS Health PLLC PastSince Dec 8, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFDBA

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1629533294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 REVERE ST APT 3050",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 W GRAND PKWY S",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078692",
            "telephone_number": "281-637-7390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 Lake Pointe Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774784098",
            "country_code": "US",
            "telephone_number": "281-637-8920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "LISA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.