Lisa Jo Shives, M.D.

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

C131956 Issued in CA

Practice address

1853 Lyndon Rd
San Diego, CA 92103-1644

Phone

(619) 944-7532

Fax

(619) 566-4432

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, MD2 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 2

Specialty

Internal MedicineAlso: Sleep Medicine

Education

University of Chicago, Pritzker School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Garrett County Sleep CenterGroup PAC ID 8527321504, 2 clinicians

Tidalhealth Atlantic IncGroup PAC ID 2365437837, 95 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Lisa Shives, MD, PC

  dba Lisa Shives MD Sleep Solutions

  • Sleep Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1508215773
  Medicare reassignment NPD Authorized official
• Atlantic General Hospital Corporation

  dba Atlantic General Health System

  • Family Medicine Physician
  • Berlin, MD
  • NPI 1871582171
  Medicare reassignment Care Compare group NPD
• The Garrett County Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Oakland, MD
  • NPI 1518467323
  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Pulmonary Disease Physician
  • San Diego, CA
  • NPI 1386762300
  Medicare reassignment NPD
• Regents of the University of California

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1558463927
  NPD
• Tidalhealth Atlantic, Inc.

  dba AGHRx RediScripts Ocean Pines

  • Community/Retail Pharmacy
  • Berlin, MD
  • NPI 1740963859
  NPD
• Dedicated Sleep, LLC

  • Specialist
  • Lisle, IL
  • NPI 1720501760

  Sleep Medicine

  NPD (past)
• Endeavor Health Medical Group

  dba NorthShore Anesthesia Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD (past)
• Endeavor Health Medical Group

  dba NorthShore University HealthSystem Faculty Practice Associates

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882
  NPD (past)
• Horizon Hospice and Palliative Care Inc

  • Medical Specialty Clinic/Center
  • Chicago, IL
  • NPI 1447284518
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1740322825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 LYNDON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031644",
            "telephone_number": "619-944-7532",
            "fax_number": "619-566-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 LYNDON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031644",
            "telephone_number": "619-944-7532",
            "fax_number": "619-566-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVES",
        "first_name": "LISA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "C131956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivani Phanse DPM Inc
• Sheela Shivaprasad
• Ambika Shivarajpur, DO
• Tatum Layne Shive
• Jeannine Shively, PA-C
• Benjamin Jeffrey Shleifer, M.D.
• Ksenya Shliakhtsitsava, M.D.
• Daphna Shlomo, PA-C
• Noushin Shoaee, DPM
• Isabel Shoaf

• Sleep Medicine (Internal Medicine) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Sleep Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.