Lisa Erelis Radix, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME104289 Issued in FL

Practice address

3801 N Highway 19a Ste 400
Mount Dora, FL 32757-2228

Phone

(352) 383-1245

Fax

(270) 887-8340

NPI assigned

Aug 1, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radha Venkatramanan, PLLC

  • Preferred Provider Organization
  • Hopkinsville, KY
  • NPI 1013104470
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1932109964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N HIGHWAY 19A STE 400",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572228",
            "telephone_number": "352-383-1245",
            "fax_number": "270-887-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N HIGHWAY 19A STE 400",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572228",
            "telephone_number": "352-383-1245",
            "fax_number": "270-887-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADIX",
        "first_name": "LISA",
        "middle_name": "ERELIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "3663",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "32227",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME104289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64047830",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390008487",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000220426",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anaiss Aloria Quiles Rosario, RBT
• Jariely Quinones
• Stephanie Quinones
• Sonya Quiroz
• Heather Simpson Rader, PT
• Bonita D Rambo, CRNA
• Efrain Sanchez Ramirez
• Hector Ramirez Jr., M.D.
• Nicholas Ramirez
• Joseph Bradley Randolph

• Nephrology Physician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.