Individual provider Active NPI

Lisa Kay Mao, M.D.

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1902097413
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME60043 Issued in FL
Practice address
1445 NW Boca Raton Blvd
Boca Raton, FL 33432-1610
Phone
(561) 997-8100
Fax
(561) 338-7785
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME60043 FL Primary

Addresses

Primary practice location

1445 NW Boca Raton Blvd
Boca Raton, FL 33432-1610

Mailing address

5560 NW 38TH Ter
Coconut Creek, FL 33073-4132
Phone (954) 648-4929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20040106000237 FL Practitioner - Ophthalmology 4880593557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1445 NW Boca Raton Blvd
Boca Raton, FL 33432-1610
Phone (561) 997-8100

5560 Northwest 38TH Terrace
Coconut Creek, FL 33073-4132

5560 NW 38TH Ter
Coconut Creek, FL 33073-4132

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
James E Lang MD PA Specialist CurrentSince May 27, 2008 Accepting new patients
Lisa Kay Mao MD PA CurrentSince Oct 30, 2003 Accepting new patients
Joshua D Cohen MD PA PastSince Apr 27, 2007 Accepting new patients

Locations

1445 NW 2nd Ave
Boca Raton, FL 33432
Phone (561) 338-7722

4800 NE 20th Ter
Ste 305
Ft Lauderdale, FL 33308
Phone (954) 491-1111

Interoperability endpoints

  • Direct secure messaging: lisakaymao@akerkasteneyecenter.direct.eyemdemr.com

Organizations & group practices 3

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1902097413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 NW 38TH TER",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734132",
            "telephone_number": "954-648-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 NW BOCA RATON BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321610",
            "telephone_number": "561-997-8100",
            "fax_number": "561-338-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAO",
        "first_name": "LISA KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME60043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.