LISA MEDWEDEFF M.D. PA
NPI 1982843769
Specialist in Plano, TX

Active since February 18, 2009CLIA 45D0938784 · Microscopy
5425 W SPRING CREEK PKWY, STE 210, PLANO, TX 75024(972) 608-3333(972) 473-7333 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa Medwedeff M.d. Pa NPPES

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

LISA MEDWEDEFF M.D. PA (NPI 1982843769) is a healthcare organization registered as a specialist in Plano, Texas and active in the NPI registry since February 2009. The organization holds a CLIA Microscopy certificate valid through September 25, 2027 and lists Lisa E Medwedeff, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1982843769
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLISA MEDWEDEFF M.D. PA
Location Address5425 W SPRING CREEK PKWY, STE 210Plano, TX 75024-4236
Mailing Address5425 W Spring Creek Pkwy, Ste 210Plano, TX 75024-4236 · (972) 608-3333 · Fax (972) 473-7333
Fax(972) 473-7333
Organization SubpartNo
Authorized OfficialLisa E MedwedeffPhysician/owner · (972) 608-3333
Enumeration DateFebruary 18, 2009
Last NPPES UpdateJuly 10, 2014
NPI 1982843769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · K1257
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5425 W SPRING CREEK PKWY, Plano, TX 75024

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0938784

Lisa E Medwedeff MD, PA Dba Village Internal Medicine Group · Plano, TX
Active · expires Sep 25, 2027
CLIA Number45D0938784
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorLisa E. Medwedeff
Laboratory Phone(972) 608-3333
Laboratory LocationLisa E Medwedeff MD, PA Dba Village Internal Medicine Group5425 Spring Creek Pkwy Suite 210, Plano, TX 75024
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Occupational Therapist
5425 W SPRING CREEK PKWY, SUITE 270
PLANO, TX 75024
Family Medicine
5425 W SPRING CREEK PKWY, SUITE 200
PLANO, TX 75024
Family Medicine
5425 W SPRING CREEK PKWY, SUITE 200
PLANO, TX 75024
Family Medicine
5425 W SPRING CREEK PKWY, SUITE 200
PLANO, TX 75024
Psychiatry & Neurology (Neurology)
5425 W SPRING CREEK PKWY, SUITE 275
PLANO, TX 75024
Clinic/Center (Physical Therapy)
5425 W SPRING CREEK PKWY, SUITE 130
PLANO, TX 75024
Clinic/Center (Sleep Disorder Diagnostic)
5425 W SPRING CREEK PKWY, SUITE NUMBER 125
PLANO, TX 75024
Audiologist (Assistive Technology Practitioner)
5425 W SPRING CREEK PKWY, SUITE 170
PLANO, TX 75024

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 Medwedeff M.D. PA's NPI number?

The NPI number for Lisa Medwedeff M.D. PA is 1982843769. It was assigned to this organization in the NPPES registry on February 18, 2009.

Where is Lisa Medwedeff M.D. PA located?

Lisa Medwedeff M.D. PA is located at 5425 W Spring Creek Pkwy Ste 210, Plano, TX 75024. The listed phone number is (972) 608-3333.

What is Lisa Medwedeff M.D. PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Lisa Medwedeff M.D. PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0938784) is associated with this NPI, valid through September 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lisa Medwedeff M.D. PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Lisa Medwedeff M.D. PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Medwedeff M.D. PA was last updated on July 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.