LISA ODENDAL MD
NPI 1427560804
Emergency Medicine - Pediatric Emergency Medicine in St Petersburg, FL

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Lisa Odendal was last updated on May 31, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 25, 2017PECOS Enrolled

501 6TH AVE S, ST PETERSBURG, FL 33701(727) 767-3051 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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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

NPI1427560804

Entity TypeIndividualFemale

Primary Taxonomy207PP0204X

Provider Legal NameLISA ODENDALCredential: MD

Location Address501 6TH AVE SSt Petersburg, FL 33701

Mailing Address15 Discovery Ridge Lane SwCalgary, AB T3H 4Y3

Phone(727) 767-3051

Sole ProprietorNo

Enumeration DateOctober 25, 2017

Last NPPES UpdateMay 31, 2018

✔ NPI 1427560804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PP0204X

License✔ Licensed in FL · 133859

Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

501 6TH AVE S, St Petersburg, FL 33701

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Other Names 1

Other Name (5)Lisa Odendal Md

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).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.