Individual provider Active NPI

Lisa Grace Alcazar-Pesante, M.D.

  • Pediatrics Physician
  • Katy, TX
National Provider Identifier
1801089792
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H5415 Issued in TX
Practice address
23920 Katy Fwy Ste 310
Katy, TX 77494-0881
Phone
(281) 392-8920
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X H5415 TX Primary

Addresses

Primary practice location

23920 Katy Fwy Ste 310
Katy, TX 77494-0881

Mailing address

6451 N Federal Hwy
Weatherby Locums, Ste 800
Fort Lauderdale, FL 33308
Phone (954) 343-3059

Other practice location 1

750 Townpark Ln NW
Kennesaw, GA 30144
Phone (404) 365-0966

Other practice location 2

Hot Springs Health Program
590 Medical Park Drive
Marshall, NC 28753
Phone (828) 649-9566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20230620000892 TX Practitioner - Pediatric Medicine 2466421953 Reassigns benefits to 1 organization
I20250424001910 NC Practitioner - Pediatric Medicine 2466421953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H5415TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Network Family Medicine CurrentSince Apr 21, 2025 Accepting new patients
Columbus Regional Health Network Current Accepting new patients
Columbus Regional Health Network CurrentSince Apr 21, 2025 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jul 10, 2023 Accepting new patients
Francisco E. Moreno M.D., P.a. Pediatrics PastSince Nov 24, 2019 Accepting new patients
Columbus Regional Health Network Family Medicine Past Accepting new patients

Locations

36 McNeill Plz
Whiteville, NC 28472
Phone (910) 640-4064

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

Interoperability endpoints

  • Direct secure messaging: lalcazarpesante2992808@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1801089792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 N FEDERAL HWY",
            "address_2": "WEATHERBY LOCUMS, STE 800",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-343-3059",
            "fax_number": "800-463-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 310",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940881",
            "telephone_number": "281-392-8920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Townpark Ln NW",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "30144",
            "country_code": "US",
            "telephone_number": "404-365-0966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Hot Springs Health Program",
            "address_2": "590 Medical Park Drive",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "NC",
            "postal_code": "28753",
            "country_code": "US",
            "telephone_number": "828-649-9566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALCAZAR-PESANTE",
        "first_name": "LISA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H5415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.