LISA ELAINE MEDWEDEFF M.D. NPI 1104827799

NPI Information

  • NPI: 1104827799
  • Provider Name: LISA ELAINE MEDWEDEFF, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 45D0938784
  • Address: 5425 W SPRING CREEK PARKWAY SUITE 210
    PLANO, TX
    ZIP 75024
  • Phone: (972) 608-3333

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NPI Details

Lisa Elaine Medwedeff, M.D. is an internal medicine in Plano, TX with 31 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Lisa Elaine Medwedeff, M.D. NPI is 1104827799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:1994

The provider's business location address is:

5425 W SPRING CREEK PARKWAY SUITE 210
PLANO, TX
ZIP 75024
Phone: (972) 608-3333
Fax: (972) 473-7333

The NPI 1104827799 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 45D0938784 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes (HCPCS:99458)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
  • Electrocardiogram (ecg) 1 to 3 leads with review by physician (HCPCS:93040)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Test for balance and posture (HCPCS:92548)
  • Testing of autonomic (sympathetic) nervous system function (HCPCS:95923)
  • Testing of autonomic (sympathetic and parasympathetic) nervous system function, at least 5 minutes of tilt (HCPCS:95924)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Administration of psychological or neuropsychological test by technician, first 30 minutes (HCPCS:96138)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)

The enumeration date for this NPI number is 8/3/2005 and was last updated on 11/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal MedicineK1257TEXASNo
2207R00000XInternal MedicineK1257TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10299083-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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