MARICELLE G SOROLLA OLYMPIA (MD) – Internal Medicine Physician, NPI 1194716720

MARICELLE G SOROLLA OLYMPIA (MD) is a healthcare provider. based in Grapevine, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. N8064 (TX). The NPI Number for MARICELLE G SOROLLA OLYMPIA (MD) is 1194716720

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MARICELLE G SOROLLA OLYMPIA (MD)
NPI
1194716720
Phone
(817) 388-3440
Address
1650 W COLLEGE ST STE 150
Enumeration Date
2 November 2005
Last Update Date
12 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
5799741955
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20110325000233
Address ID
TX752461608DA4001XSTXX300

Contacts

Secure Messaging
msorollaolympia292799@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

13,290 INTERNAL MEDICINE in TX

Provider Addresses for MARICELLE G SOROLLA OLYMPIA (MD)

  • 1650 W COLLEGE ST STE 150

    GRAPEVINE, TX 760513565

    Phone: (817) 388-3440

    Fax: (817) 388-3441

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-03-25

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
I20110325000233IInternal MedicineTXTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes158156$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes141138$0
View full utilization report →

Insurance plans in this area (ZIP 76051)

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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: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

What identifier follows MARICELLE G SOROLLA OLYMPIA (MD) across health systems?
The NPI 1194716720 uniquely identifies MARICELLE G SOROLLA OLYMPIA (MD) in U.S. healthcare data.
Is MARICELLE G SOROLLA OLYMPIA (MD)'s NPI status active today?
Active status means MARICELLE G SOROLLA OLYMPIA (MD)'s NPI record is not deactivated in the public file.
How should patients interpret MARICELLE G SOROLLA OLYMPIA (MD)'s specialty?
The extract shows Internal Medicine Physician for MARICELLE G SOROLLA OLYMPIA (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARICELLE G SOROLLA OLYMPIA (MD)?
MARICELLE G SOROLLA OLYMPIA (MD) is associated with Grapevine, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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