Individual provider Active NPI

Lisa Stacy Tharler, D.O.

  • Internal Medicine Physician
  • Schenectady, NY
National Provider Identifier
1801852587
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
296320 Issued in NY
Practice address
1101 Nott St
Department of Hospitalist Medicine
Schenectady, NY 12308
Phone
(518) 243-4135
Fax
(518) 243-1367
NPI assigned
Apr 21, 2006
Last updated
Apr 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10850 CA
Internal Medicine Physician 207R00000X 296320 NY Primary
Pediatrics Physician 208000000X 296320 NY
Hospitalist Physician 208M00000X 296320 NY

Addresses

Primary practice location

1101 Nott St
Department of Hospitalist Medicine
Schenectady, NY 12308

Mailing address

1101 Nott St
Department of Hospitalist Medicine
Schenectady, NY 12308-2489
Phone (518) 243-4135

Other practice location 1

6464 W Sunset Blvd
Medical Suite 947
Los Angeles, CA 90028-8001
Phone (800) 376-5874

Other identifiers 1

IdentifierTypeStateIssuer
05431883MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, HI2 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
I20190114000819 NY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5092051029 Reassigns benefits to 2 organizations
I20210422002475 HI Practitioner - Internal Medicine 5092051029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2525 Kings Hwy
Brooklyn, NY 11229-1705
Phone (718) 692-5303

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
AC10850CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Midpacific Hospitalists LLC Internal Medicine CurrentSince Oct 17, 2022 Accepting new patients
New York Community Hospital of Brooklyn Inc CurrentSince Jan 15, 2025 Accepting new patients
Sound Physicians of Hawaii Inc Internal Medicine CurrentSince Jan 14, 2021 Accepting new patients
New York Community Hospital of Brooklyn, Inc. Internal Medicine Past Accepting new patients
Hawaii Emergency Physicians Associated Inc Past Accepting new patients
New York Community Hospital of Brooklyn Inc PastSince Sep 14, 2025 Accepting new patients

Locations

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1801852587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST",
            "address_2": "DEPARTMENT OF HOSPITALIST MEDICINE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082489",
            "telephone_number": "518-243-4135",
            "fax_number": "518-243-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST",
            "address_2": "DEPARTMENT OF HOSPITALIST MEDICINE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12308",
            "telephone_number": "518-243-4135",
            "fax_number": "518-243-1367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6464 W Sunset Blvd",
            "address_2": "Medical Suite 947",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900288001",
            "country_code": "US",
            "telephone_number": "800-376-5874",
            "fax_number": "323-466-7799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THARLER",
        "first_name": "LISA",
        "middle_name": "STACY",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10850",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "296320",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "296320",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "296320",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05431883",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.