DR. MEL TIMTIMAN LIZASO (MD) – Radiation Oncology Physician, NPI 1215497789

DR. MEL TIMTIMAN LIZASO (MD) is a healthcare provider. based in Orlando, Florida. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. ME169611 (FL). The NPI Number for DR. MEL TIMTIMAN LIZASO (MD) is 1215497789

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. MEL TIMTIMAN LIZASO (MD)
NPI
1215497789
Phone
(407) 266-1106
Address
6850 LAKE NONA BLVD
Enumeration Date
21 March 2019
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722885890
Graduation Year
2019 (7 years ago)
PAC ID
0840610390
Group Practice PAC ID
2961300611
Professional Enrollment ID
I20240823003602
Address ID
FL349942302ST501XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

494 RADIATION ONCOLOGY in FL

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Provider Addresses for DR. MEL TIMTIMAN LIZASO (MD)

  • University of Central Florida College of Medicine, 6850, Lake Nona Boulevard, Medical City, Orlando, Orange County, Florida, 32827, United States

    ORLANDO, FL 328277408

    Phone: (407) 266-1106

    Fax: (407) 266-1199

    Type: Mailing

  • 501 SE Osceola St

    Stuart, FL 349942301

    Phone: (772) 288-5890

    Type: Location

  • 3555 10th Ct

    Vero Beach, FL 329605013

    Phone: (772) 288-5890

    Type: Location

  • 1095 NW SAINT LUCIE WEST BLVD

    PORT ST LUCIE, FL 349861719

    Phone: (772) 785-5588

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novocure Inc. ($139).

Total Amount

$139

General + Research + Ownership

Payments

3

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novocure Inc.$139
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: 2024-08-23

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
I20240823003602IRadiation OncologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32827)

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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: 2961300611View full group profile
NameSpecialtyState
Internal MedicineGA
Orthopedic SurgeryFL
Internal MedicineAZ
Orthopedic SurgeryME
Physician AssistantFL
Internal MedicineFL
Nurse PractitionerFL
Radiation OncologyFL
Pulmonary Disease, Critical Care (Intensivists)WV
N E U R O L O G YFL

Reviews

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Frequently asked questions

What identifier follows DR. MEL TIMTIMAN LIZASO (MD) across health systems?
The NPI 1215497789 uniquely identifies DR. MEL TIMTIMAN LIZASO (MD) in U.S. healthcare data.
Is DR. MEL TIMTIMAN LIZASO (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. MEL TIMTIMAN LIZASO (MD) as active.
How should patients interpret DR. MEL TIMTIMAN LIZASO (MD)'s specialty?
The extract shows Radiation Oncology Physician for DR. MEL TIMTIMAN LIZASO (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MEL TIMTIMAN LIZASO (MD)?
DR. MEL TIMTIMAN LIZASO (MD) is associated with Orlando, Florida in the same public data insurers reference.
Who maintains DR. MEL TIMTIMAN LIZASO (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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