DR. LISA DANG LAROSE (M.D.) – Diagnostic Radiology Physician, NPI 1285933838
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. LISA DANG LAROSE (M.D.)
554 WHITE CYN
SAN ANTONIO, TX 782604920
Phone: (301) 980-4337
Type: Mailing
3551 ROGER BROOKE DR
BROOKE ARMY MEDICAL CENTER DEPARTMENT OF RADIOLOGY
JBSA FT SAM HOUSTON, TX 782344504
Phone: (210) 916-3808
Fax: (210) 916-9256
Type: Location
MALCOLM GROW MEDICAL CLINICS AND SURGERY CENTER
1060 W. PERIMETER RD
JB ANDREWS, MD 20762
Phone: (240) 612-2020
Fax: (240) 612-3880
Type: Mailing
1060 W PERIMETER RD
JB ANDREWS, MD 207626602
Phone: (240) 612-2020
Fax: (240) 612-3880
Type: Location
3404 Tennessee Dr
Alexandria, VA 223031225
Phone: (301) 980-4337
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: 2021-09-24
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 |
|---|---|---|---|---|
| I20210924002362 | I | Diagnostic Radiology | DC | 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 |
|---|---|---|---|---|
| 74177 | Ct scan of abdomen and pelvis with contrast | 42 | 42 | $0 |
| 71046 | X-ray of chest, 2 views | 32 | 32 | $0 |
| 71250 | Ct scan of chest without contrast | 28 | 28 | $0 |
| 71045 | X-ray of chest, 1 view | 27 | 27 | $0 |
| 70450 | Ct scan head or brain without contrast | 27 | 26 | $0 |
Insurance plans in this area (ZIP 78260)
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