LISA L ELLIS (M.D.) – Internal Medicine Physician, NPI 1972508950

LISA L ELLIS (M.D.) is a healthcare provider. based in Richmond, Virginia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 5468 (SD). The NPI Number for LISA L ELLIS (M.D.) is 1972508950

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
LISA L ELLIS (M.D.)
NPI
1972508950
Phone
(804) 358-6100
Address
PO BOX 91734
Enumeration Date
16 June 2005
Last Update Date
26 February 2010

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
8046282374
Graduation Year
2001 (25 years ago)
PAC ID
7214996370
Group Practice PAC ID
4385542117
Professional Enrollment ID
I20100518000110
Address ID
VA232351900RI9000XPKWY400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,930 INTERNAL MEDICINE in VA

Loading map...

Provider Addresses for LISA L ELLIS (M.D.)

  • Richmond Drive, Middletown, New Castle County, Delaware, United States

    RICHMOND, VA 232911734

    Phone: (804) 358-6100

    Fax: (804) 342-7619

    Type: Mailing

  • VCU Medical Center, 1250, East Marshall Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States

    OB/GYN

    RICHMOND, VA 232985051

    Phone: (804) 560-8950

    Fax: (804) 560-7343

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2010-05-18

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
I20100518000110IInternal MedicineVATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4634$0
36415Insertion of needle into vein for collection of blood sample2014$0
View full utilization report →

Insurance plans in this area (ZIP 23291)

Loading plans...

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: 4385542117View full group profile
NameSpecialtyState
Internal MedicineVA
-VA
Nurse PractitionerVA
Orthopedic SurgeryVA
O T O L A R Y N G O L O G YVA
Diagnostic RadiologyVA
Nurse PractitionerVA
Qualified AudiologistVA
Radiation OncologyVA
O T O L A R Y N G O L O G YVA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is LISA L ELLIS (M.D.) identified in CMS data?
CMS-hosted NPPES data lists LISA L ELLIS (M.D.) with NPI 1972508950.
Is LISA L ELLIS (M.D.) still practicing?
LISA L ELLIS (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes LISA L ELLIS (M.D.)?
For research purposes, treat LISA L ELLIS (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is LISA L ELLIS (M.D.) based?
LISA L ELLIS (M.D.) is tied to Richmond, Virginia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

DR. DENISE LOUISE BORDEN (M.D.)

Internal Medicine Physician
417, North 11th Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States
NPI: 1982601522

DR. PRAVIN DESHMUKH (M.D.)

Internal Medicine Physician
12320 W BROAD ST STE 204
NPI: 1073511200

JOHN A PATRIZIO (M.D.)

Internal Medicine Physician
5801 Bremo Rd
NPI: 1417957598

DR. KEVIN CHARLES HARRISON (D.O.)

Internal Medicine Physician
9460 AMBERDALE DRIVE
NPI: 1073514238

DR. GUITA GHADIRI (M.D.)

Nephrology Physician
1901, Huguenot Road, Bon Air, Chesterfield County, Virginia, 23235, United States
NPI: 1053304311

DR. ROBERT A JR. DECOLLI (D.O)

Internal Medicine Physician
Mechanicsville Turnpike, Richmond, Richmond City, Virginia, 23223, United States
NPI: 1790778991
Federal Bureau of Investigation Richmond Field Office, 1970, East Parham Road, Lydell Heights, Richmond, Henrico County, Virginia, 23228, United States
NPI: 1114911955

DR. LESLIE T MOSES (MD)

Internal Medicine Physician
Chippenham Hospital, 7101, Jahnke Road, Westover Heights, Richmond, Virginia, 23225, United States
NPI: 1962496612