Lisa Lai Chan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K2321 Issued in TX

Practice address

12609 Louetta Rd
Cypress, TX 77429-5136

Phone

(281) 655-5100

Fax

(281) 655-1415

NPI assigned

Dec 22, 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 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal Medicine

Education

University of Texas Medical School at San Antonio, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Michael Medical Clinic P aGroup PAC ID 8729271721, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
• Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
• HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670
• Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lchan26857@directhoustonmethodist.org

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.

• St Michael Medical Clinic P a

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1730383001
  Medicare reassignment Care Compare group NPD
• Katy Internal Medicine Associates, L.L.P.

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1699785444
  NPD (past)

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

• Memorial Hermann Health System

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Houston, TX
  • NPI 1437189115

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1982666111
  Care Compare affiliation
• Methodist Health Centers

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1871619254
  Care Compare affiliation
• North Houston - TRMC, LLC

  • General Acute Care Hospital
  • Tomball, TX
  • NPI 1750819025
  Care Compare affiliation
• Tops Specialty Hospital, LTD.

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1144203662
  Care Compare affiliation

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1992860829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12609 LOUETTA RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295136",
            "telephone_number": "281-655-5100",
            "fax_number": "281-655-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12609 LOUETTA RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295136",
            "telephone_number": "281-655-5100",
            "fax_number": "281-655-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "LISA",
        "middle_name": "LAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048021202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fariborz Chafi, LSA
• Taylor Ann Chamberlain
• Keniya Chambers
• Nicole Chambers
• Deandra Latrice Chambliss, AGACNP-BC
• Veena Chandrakar, M.D.
• Jasmine A Chaney, BCBA
• Change Home Health LLC
• Will Chapple, M.D.
• Charles E. Dyer IV, DDS, Ms, PC

• Internal Medicine Physician in Cypress, TX
• Providers in Cypress, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.