LIZA DE OLAZO BANAAG (MD) – Family Medicine Physician, NPI 1194916874
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for LIZA DE OLAZO BANAAG (MD)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752844658
Phone:
Type: Mailing
2601, Thornton Lane, Temple, Bell County, Texas, 76502, United States
TEMPLE, TX 765021808
Phone: (254) 724-2111
Type: Location
PO BOX 742712
ATLANTA, GA 303742712
Phone: (877) 866-7123
Type: Mailing
17218 PRESTON RD # 2000
DALLAS, TX 752524018
Phone: (877) 866-7123
Type: Location
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: 2011-10-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111025000646 | I | Family Practice | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 980 | 273 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 678 | 236 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 546 | 209 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 196 | 86 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 136 | 108 | $0 |
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Family Practice, Peripheral Vascular Disease | TX | |
| General Surgery | NY | |
| General Surgery | FL | |
| General Surgery | TX | |
| N E U R O S U R G E R Y | TX | |
| General Practice | PA | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| General Surgery | TX |
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