Lisa Storey Macha, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R9442 Issued in TX

Practice address

418 Park Grove Dr
Katy, TX 77450-1571

Phone

(281) 492-0774

NPI assigned

May 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Storey Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.macha.1@12336.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/12336/brand/1/csg/1/fhir/r4

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.

• Tejas Health Care

  • Federally Qualified Health Center (FQHC)
  • La Grange, TX
  • NPI 1073779500
  Medicare reassignment NPD
• Tejas Health Care

  • Federally Qualified Health Center (FQHC)
  • Giddings, TX
  • NPI 1215326491
  NPD
• Just for Kids Pediatrics PLLC

  • Pediatrics Physician
  • Katy, TX
  • NPI 1073986352
  NPD (past)

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1720434459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 PARK GROVE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 PARK GROVE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501571",
            "telephone_number": "281-492-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHA",
        "first_name": "LISA",
        "middle_name": "STOREY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R9442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "STOREY",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabriel Mabatah
• Mabella Foundation, Inc.
• Krysten Mabry, LMSW
• Sara Maccagnan, M.A.
• Ethel Mae Maccallum, OTR
• Patrick J Machado
• Machaseh Health Services LLC
• Macie Medical
• David Mack
• Felicity L Mack, M.D.

• Pediatrics Physician in Katy, TX
• Providers in Katy, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.