Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa Susan Mattam, MD

Individual provider Internal Medicine Physician · NPI 1407290554

Dr. Lisa Susan Mattam, MD is a Family Practice in Weston, Florida. Qualified in 2013, 13 years ago. Practices with Eastside Hospitalists Inc, a 185-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
13
Licensed in
AR
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

521 Ranch Rd
Weston, FL 33326-1757
Phone: (305) 799-2248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence E-9356 (AR)
Internal Medicine Physician Taxonomy 207R00000X · Licence E-9356 (AR)

Record details

NPI number1407290554
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 19, 2013
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Eastside Hospitalists Inc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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