Active NPI
Lisa Grace Alcazar-Pesante, M.D.
- Pediatrics Physician
- Katy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- H5415
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H5415 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Regional Health Network | Family Medicine | Current | Accepting new patients |
| Columbus Regional Health Network | Current | Accepting new patients | |
| Columbus Regional Health Network | Current | Accepting new patients | |
| The Fort Defiance Indian Hospital Board, Incorporation | Current | Accepting new patients | |
| Francisco E. Moreno M.D., P.a. | Pediatrics | Past | 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
- 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.
-
- Hospitalist Physician
- Whiteville, NC
- NPI 1508001009
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1477876639
TX
-
- Orthopaedic Surgery Physician
- Whiteville, NC
- NPI 1790224962
-
- Pediatrics Physician
- Katy, TX
- NPI 1649439365
-
- Family Medicine Physician
- Whiteville, NC
- NPI 1518263268
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.