Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa J McIntosh, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1205827573

Dr. Lisa J McIntosh, MD is an Obstetrics/Gynecology in Detroit, Michigan. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1987, 39 years ago. Practices with Covenant Community Care, Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
39
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5716 Michigan Ave
Detroit, MI 48210-3039
Phone: (313) 554-1095
Fax: (313) 899-3560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301052024 (MI)

Record details

NPI number1205827573
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 4, 2005
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1987 (39 years in practice)
Group practice Covenant Community Care, Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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