DR. LISA J MCINTOSH MD
NPI 1205827573
Obstetrics & Gynecology in Detroit, MI

Q: What is Lisa Mcintosh's NPI number?

The NPI number for Lisa Mcintosh is 1205827573. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Q: What is Lisa Mcintosh's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Mcintosh was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment

5716 MICHIGAN AVE, DETROIT, MI 48210(313) 554-1095(313) 899-3560 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2023, May 18, 2022, Jan 24, 2016 (3 updates tracked since 2016).

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About Dr. Lisa J Mcintosh Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA J MCINTOSH MD (NPI 1205827573) is an individual obstetrics & gynecology provider in Detroit, Michigan, licensed in Michigan (4301052024) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1987).

NPPES Registry Identity

NPI1205827573

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. LISA J MCINTOSHCredential: MD

Location Address5716 MICHIGAN AVEDetroit, MI 48210-3039

Mailing Address559 W Grand BlvdDetroit, MI 48216-2200 · (313) 554-0485 · Fax (313) 228-0283

Phone(313) 554-1095

Fax(313) 899-3560

Sole ProprietorYes

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1987

Enumeration DateNovember 4, 2005

Last NPPES UpdateMarch 23, 20233 updates tracked since enumeration

NPPES CertifiedMarch 23, 2023

✔ NPI 1205827573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 4301052024

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5716 MICHIGAN AVE, Detroit, MI 48210

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Other Identifiers 1

Medicaid3223799MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa J Mcintosh Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557329992

PECOS Enrollment IDI20041230000642

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. REBECCA LOUISE DEAN LLMSW

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