LISA M ANGOTTI (M.D.) – Trauma Surgery Physician, NPI 1316380389

LISA M ANGOTTI (M.D.) is a healthcare provider. based in Nellis afb, Nevada. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 20089 (NV). The NPI Number for LISA M ANGOTTI (M.D.) is 1316380389

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
LISA M ANGOTTI (M.D.)
NPI
1316380389
Phone
(702) 653-3050
Address
4700 LAS VEGAS BLVD N
Enumeration Date
9 April 2013
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
2668704123
Group Practice PAC ID
4183991458
Professional Enrollment ID
I20201030000294
Address ID
NV891022352LA1707XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:13State licenses:2Digital endpointsOther names

309 GENERAL SURGERY in NV

Provider Addresses for LISA M ANGOTTI (M.D.)

  • 4700 LAS VEGAS BLVD N

    NELLIS AFB, NV 891916600

    Phone: (702) 653-3050

    Type: Mailing

  • 48 MDG / RAF LAKENHEATH

    UNIT 5115

    APO, AE 09461

    Phone:

    Type: Mailing

  • 3016 W CHARLESTON BLVD STE 100

    LAS VEGAS, NV 891021973

    Phone: (702) 671-5150

    Type: Mailing

  • 1707 W CHARLESTON BLVD STE 160

    LAS VEGAS, NV 891022354

    Phone: (702) 671-5150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Haemonetics Corporation ($127).

Total Amount

$127

General + Research + Ownership

Payments

2

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Haemonetics Corporation$127
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: 2020-10-30

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
I20201030000294IGeneral SurgeryNVTBD

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 minutes7136$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2626$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 89191)

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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: 4183991458View full group profile

Reviews

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Frequently asked questions

What is the standard ID for LISA M ANGOTTI (M.D.) in the U.S.?
In the U.S., LISA M ANGOTTI (M.D.) is identified by NPI 1316380389.
Does the public listing show LISA M ANGOTTI (M.D.) as active?
LISA M ANGOTTI (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say LISA M ANGOTTI (M.D.) does?
Insurance directories may phrase it differently, but here LISA M ANGOTTI (M.D.) maps to Trauma Surgery Physician. Clinical services aligned with this taxonomy classification.
Is LISA M ANGOTTI (M.D.) tied to Nellis Afb, Nevada?
If you are local to Nellis Afb, Nevada, LISA M ANGOTTI (M.D.) may be relevant to your search.
Why is information missing for LISA M ANGOTTI (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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