LISA ODENDAL MD
NPI 1427560804
Emergency Medicine - Pediatric Emergency Medicine in St Petersburg, FL
About Lisa Odendal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA ODENDAL MD (NPI 1427560804) is an individual pediatric emergency medicine provider in St Petersburg, Florida, licensed in Florida (133859) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Odendal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Odendal's NPI number?
The NPI number for Lisa Odendal is 1427560804. It was assigned to this individual provider in the NPPES registry on October 25, 2017. The provider is also known as Lisa Odendal MD.
Where is Lisa Odendal located?
Lisa Odendal practices at 501 6th Ave S, St Petersburg, FL 33701. The listed phone number is (727) 767-3051.
What is Lisa Odendal's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.
Is Lisa Odendal enrolled in Medicare?
Yes. Lisa Odendal is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lisa Odendal was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lisa Odendal, MD · NPI 1427560804
Pediatric Emergency Medicine physician in St Petersburg, Florida. Individual provider, active in the CMS NPPES registry since October 25, 2017.
## Identity
- **NPI:** 1427560804 (Entity type: Individual)
- **Enumerated:** October 25, 2017
- **Primary specialty:** Emergency Medicine - Pediatric Emergency Medicine · taxonomy 207PP0204X
- **State license:** 133859 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 6TH AVE S, St Petersburg, FL 33701
- **Phone:** (727) 767-3051
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 31, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1427560804) · Data from the CMS NPPES public registry.