Lisa M Jukes, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

K6767 Issued in TX

Practice address

3944 RR 620 South
Building 8, Suite 208
Bee Cave, TX 78738-7000

Phone

(512) 301-6767

Fax

(512) 301-6776

NPI assigned

Aug 1, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Lisa M. Jukes, MD, PA

  • Gynecology Physician
  • West Lake Hills, TX
  • NPI 1073739090
  Authorized official Same address or phone

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1912913666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE B101",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465281",
            "telephone_number": "512-301-6767",
            "fax_number": "512-301-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 RR 620 SOUTH",
            "address_2": "BUILDING 8, SUITE 208",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787387000",
            "telephone_number": "512-301-6767",
            "fax_number": "512-301-6776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5656 Bee Cave Rd",
            "address_2": "Suite D203",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465280",
            "country_code": "US",
            "telephone_number": "512-301-6767",
            "fax_number": "512-301-6776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5656 Bee Cave Rd",
            "address_2": "Suite D203",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465280",
            "country_code": "US",
            "telephone_number": "512-301-6767",
            "fax_number": "512-301-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUKES",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K6767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "8K1560",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0008KP",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT & WHITE",
            "identifier": "286813",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "680559223",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Timothy Johnson, PHARMACIST
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• Alejandra Carmen Junco, B.S. L.AC
• Elizabeth Kirichenko, LPC, RPT
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• David R Knight, RN, MSN, FNP-C
• Jill Knuth

• Obstetrics & Gynecology Physician in Bee Cave, TX
• Providers in Bee Cave, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.