DR. LISA CHAMPOUX-RHODEN M.D.
NPI 1619970597
Pediatrics in Valrico, FL

Q: What is Lisa Champoux-rhoden's NPI number?

The NPI number for Lisa Champoux-rhoden is 1619970597. It was assigned to this individual provider in the NPPES registry on May 24, 2005. The provider is also known as Lisa Champoux M.D..

Q: What is Lisa Champoux-rhoden's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 24, 2005PECOS Enrolled

2470 BLOOMINGDALE AVE STE 223, VALRICO, FL 33596(813) 689-7139(813) 443-8157 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2019, Feb 11, 2016 (2 updates tracked since 2016).

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About Dr. Lisa Champoux-rhoden M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA CHAMPOUX-RHODEN M.D. (NPI 1619970597) is an individual pediatrics provider in Valrico, Florida, licensed in Florida (ME70484) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619970597

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. LISA CHAMPOUX-RHODENCredential: M.D.

Location Address2470 BLOOMINGDALE AVE STE 223Valrico, FL 33596-6403

Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 532-1355 · Fax (813) 635-2613

Phone(813) 689-7139

Fax(813) 443-8157

Sole ProprietorNo

Enumeration DateMay 24, 2005

Last NPPES UpdateFebruary 26, 20192 updates tracked since enumeration

✔ NPI 1619970597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME70484

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2470 BLOOMINGDALE AVE STE 223, Valrico, FL 33596

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Other Names 1

Former Name (1)Lisa Champoux M.d.

Other Identifiers 1

Medicaid251446000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Champoux-rhoden M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Champoux-rhoden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baycare Medical Group, Inc.

29 mi

General Practice

2995 DREW ST FL 2
Clearwater, FL 33759

Reassigned Medicare billing, Florida enrollment
2,009 clinicians in this Medicare group

NPI 1043269871 (727) 281-9065

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33596 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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIFE QUIROS M.D.

Pediatrics