DR. KIM LISA BANGO (M.D.) – Family Medicine Physician, NPI 1235171711

DR. KIM LISA BANGO (M.D.) is a healthcare provider. based in Miami, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. M3462 (TX). The NPI Number for DR. KIM LISA BANGO (M.D.) is 1235171711

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIM LISA BANGO (M.D.)
NPI
1235171711
Phone
(786) 528-3000
Address
8299 S Dixie Hwy
Enumeration Date
11 June 2006
Last Update Date
5 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052734641
Graduation Year
1998 (28 years ago)
PAC ID
5294731444
Group Practice PAC ID
8921091786
Professional Enrollment ID
I20101202000056
Address ID
FL331334741MI3225XAVEX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. KIM LISA BANGO (M.D.)

  • 8299 S Dixie Hwy

    Miami, FL 331437717

    Phone: (786) 528-3000

    Fax: (888) 971-4034

    Type: Location

  • Southwest 76th Street, South Miami, Miami-Dade County, Florida, 33143, United States

    SOUTH MIAMI, FL 331435002

    Phone: (786) 709-9990

    Fax: (800) 445-9844

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $556.

Total Amount is formed as General ($556) + Research ($0) + Ownership ($0) = $556.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Lilly USA, LLC ($128).

Total Amount

$556

General + Research + Ownership

Payments

27

Total payment records

General Amount

$556

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101202000056IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample8561$0
G0444Annual depression screening, 5 to 15 minutes5555$0
99214Established patient office or other outpatient visit, 30-39 minutes5538$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5353$0
99213Established patient office or other outpatient visit, 20-29 minutes3125$0
View full utilization report →

Insurance plans in this area (ZIP 33143)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921091786View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
U R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
Nurse PractitionerFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YVA

Reviews

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Frequently asked questions

Is DR. KIM LISA BANGO (M.D.) listed with a National Provider Identifier?
Yes — DR. KIM LISA BANGO (M.D.) has NPI 1235171711 on file in the registry.
Is DR. KIM LISA BANGO (M.D.) shown as active in public data?
Registry records indicate DR. KIM LISA BANGO (M.D.) maintains an active NPI.
What kind of doctor is DR. KIM LISA BANGO (M.D.)?
DR. KIM LISA BANGO (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KIM LISA BANGO (M.D.)?
Directory geography for DR. KIM LISA BANGO (M.D.) centers on Miami, Florida.
Does DR. KIM LISA BANGO (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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