LISA DIANE CHODAK (M.D.) – Obstetrics & Gynecology Physician, NPI 1750487310

LISA DIANE CHODAK (M.D.) is a healthcare provider. based in Rancho cordova, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. C52473 (CA). The NPI Number for LISA DIANE CHODAK (M.D.) is 1750487310

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
LISA DIANE CHODAK (M.D.)
NPI
1750487310
Phone
Not provided
Address
3400 DATA DR
Enumeration Date
14 September 2006
Last Update Date
9 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9169833500
Graduation Year
1995 (31 years ago)
PAC ID
8123026192
Group Practice PAC ID
7810800661
Professional Enrollment ID
I20061129000516
Address ID
CA956303914FO1735XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

Provider Addresses for LISA DIANE CHODAK (M.D.)

  • 3400, Data Drive, Rancho Cordova, Sacramento County, California, 95670, United States

    RANCHO CORDOVA, CA 956707956

    Phone:

    Type: Mailing

  • 4987 GOLDEN FOOTHILL PKWY

    EL DORADO HILLS, CA 957629364

    Phone: (916) 933-4222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061129000516IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2018$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1616$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1515$0
99212Established patient office or other outpatient visit, 10-19 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 95670)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810800661View full group profile

Reviews

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Frequently asked questions

How do I look up LISA DIANE CHODAK (M.D.) by NPI?
Use NPI 1750487310 when you need to reference LISA DIANE CHODAK (M.D.) in forms, claims, or directories.
Does this profile mean LISA DIANE CHODAK (M.D.) is currently active?
Yes — LISA DIANE CHODAK (M.D.) appears active in the national provider directory.
What does LISA DIANE CHODAK (M.D.) treat or focus on?
Patients typically see LISA DIANE CHODAK (M.D.) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location shows for LISA DIANE CHODAK (M.D.)?
We surface Rancho Cordova, California for LISA DIANE CHODAK (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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