LISA PATTANAYAK (MD) – Internal Medicine Physician, NPI 1073686234

LISA PATTANAYAK (MD) is a healthcare provider. based in Orlando, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME82411 (FL). The NPI Number for LISA PATTANAYAK (MD) is 1073686234

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
LISA PATTANAYAK (MD)
NPI
1073686234
Phone
(407) 294-1014
Address
6150 Metrowest Blvd Ste 307
Enumeration Date
16 November 2006
Last Update Date
26 April 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
4072941014
Graduation Year
1991 (35 years ago)
PAC ID
5698730331
Group Practice PAC ID
2365406840
Professional Enrollment ID
I20041122001266
Address ID
FL328353291OR6150XBLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

Provider Addresses for LISA PATTANAYAK (MD)

  • 6150 Metrowest Blvd Ste 307

    Orlando, FL 328353291

    Phone: (407) 294-1014

    Fax: (407) 294-7732

    Type: Location

  • 1106, Lucerne Terrace, Orlando, Orange County, Florida, 32806, United States

    ORLANDO, FL 328061017

    Phone: (407) 316-8898

    Fax: (407) 540-0773

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $268.

Total Amount is formed as General ($268) + Research ($0) + Ownership ($0) = $268.

Last reported payment date: 2024-03-16 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($124).

Total Amount

$268

General + Research + Ownership

Payments

5

Total payment records

General Amount

$268

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-11-22

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
I20041122001266IInternal MedicineFLTBD

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 minutes7131$0
99212Established patient office or other outpatient visit, 10-19 minutes2920$0
View full utilization report →

Insurance plans in this area (ZIP 32835)

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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: 2365406840View full group profile
NameSpecialtyState
Internal MedicineFL
Family PracticePA
Internal MedicinePA
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Internal MedicineFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

How do I look up LISA PATTANAYAK (MD) by NPI?
Use NPI 1073686234 when you need to reference LISA PATTANAYAK (MD) in forms, claims, or directories.
Is LISA PATTANAYAK (MD) active in the national directory?
LISA PATTANAYAK (MD)'s public NPI profile is in an active state.
What kind of provider is LISA PATTANAYAK (MD)?
The page reflects Internal Medicine Physician for LISA PATTANAYAK (MD). Clinical services aligned with this taxonomy classification.
Does LISA PATTANAYAK (MD) practice in Florida?
You will see Orlando, Florida on file for LISA PATTANAYAK (MD) alongside any extra practice locations.
Is LISA PATTANAYAK (MD) a real provider?
This page reflects official NPPES data for NPI 1073686234. Always confirm identity and privileges with the practice and licensing boards.

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