DR. LISA ERELIS RADIX (MD) – Nephrology Physician, NPI 1932109964

DR. LISA ERELIS RADIX (MD) is a healthcare provider. based in Mount dora, Florida. specializing in Nephrology Physician. They hold the professional credentials MD. They hold a License No. 3663 (KY). The NPI Number for DR. LISA ERELIS RADIX (MD) is 1932109964

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA ERELIS RADIX (MD)
NPI
1932109964
Phone
(352) 383-1245
Address
3801 N HIGHWAY 19A STE 400
Enumeration Date
1 August 2005
Last Update Date
26 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5025879660
Graduation Year
1994 (32 years ago)
PAC ID
1658359583
Group Practice PAC ID
4183522618
Professional Enrollment ID
I20050303000197
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

Provider Addresses for DR. LISA ERELIS RADIX (MD)

  • 3801 N HIGHWAY 19A STE 400

    MOUNT DORA, FL 327572228

    Phone: (352) 383-1245

    Fax: (270) 887-8340

    Type: Mailing

  • PO BOX 73

    HOPKINSVILLE, KY 422410073

    Phone: (270) 889-0282

    Fax: (270) 887-8340

    Type: Mailing

  • 1910, South Virginia Street, Hopkinsville, Christian County, Kentucky, 42240, United States

    SUITE 106

    HOPKINSVILLE, KY 422403692

    Phone: (270) 889-0282

    Fax: (270) 887-8340

    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: 2023-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050303000197INephrologyKYTBD
I20230920001324INephrologyFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3930$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3522$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 32757)

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Provider's Procedures

DR. LISA ERELIS RADIX (MD) performs procedures in Nephrology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYKY90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older7845

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: 4183522618View full group profile
NameSpecialtyState
Internal Medicine, NephrologyKY
Nephrology, Internal MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Internal Medicine, NephrologyKY
Nurse PractitionerKY
N E P H R O L O G YKY
-KY
N E P H R O L O G YKY

Reviews

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Frequently asked questions

What federal number belongs to DR. LISA ERELIS RADIX (MD)?
The federal identifier for DR. LISA ERELIS RADIX (MD) is NPI 1932109964.
Does this profile mean DR. LISA ERELIS RADIX (MD) is currently active?
Yes — DR. LISA ERELIS RADIX (MD) appears active in the national provider directory.
What field does DR. LISA ERELIS RADIX (MD) work in?
You can think of DR. LISA ERELIS RADIX (MD) as practicing within Nephrology Physician. Clinical services aligned with this taxonomy classification.
Does DR. LISA ERELIS RADIX (MD) practice in Florida?
You will see Mount Dora, Florida on file for DR. LISA ERELIS RADIX (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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