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DR. JEANNETTE MARIE OLAZAGASTI LOURIDO M.D., M.S.
NPI 1104288778
Dermatology in Euless, TX

Active since March 23, 2016Opted out of Medicare · through Apr 1, 2027
601 WESTPARK WAY STE 100, EULESS, TX 76040(817) 754-8884(817) 977-9077 Get Directions Write a Review

NPPES record last updated: November 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2023, Sep 22, 2022, Oct 14, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Jeannette Marie Olazagasti Lourido M.d., M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEANNETTE MARIE OLAZAGASTI LOURIDO M.D., M.S. (NPI 1104288778) is an individual dermatology provider in Euless, Texas, licensed in Texas (T0879) and active in the NPI registry since March 2016. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104288778
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. JEANNETTE MARIE OLAZAGASTI LOURIDOCredential: M.D., M.S.
Location Address601 WESTPARK WAY STE 100Euless, TX 76040-3972
Mailing Address601 Westpark Way Ste 100Euless, TX 76040-3972 · (817) 754-8884 · Fax (817) 977-9077
Phone(817) 754-8884
Fax(817) 977-9077
Sole ProprietorYes
Enumeration DateMarch 23, 2016
Last NPPES UpdateNovember 25, 20236 updates tracked since enumeration
NPPES CertifiedNovember 25, 2023
✔ NPI 1104288778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · T0879
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
601 WESTPARK WAY STE 100, Euless, TX 76040
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jeannette Marie Olazagasti Lourido M.d., M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
19 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIVA DERMATOLOGY PLLC
Dermatology
601 WESTPARK WAY STE 100
EULESS, TX 76040
Tarrant County (817) 754-8884

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeannette Olazagasti Lourido's NPI number?

The NPI number for Jeannette Olazagasti Lourido is 1104288778. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Jeannette Olazagasti Lourido located?

Jeannette Olazagasti Lourido practices at 601 Westpark Way Ste 100, Euless, TX 76040. The listed phone number is (817) 754-8884.

What is Jeannette Olazagasti Lourido's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jeannette Olazagasti Lourido enrolled in Medicare?

No. Jeannette Olazagasti Lourido has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeannette Olazagasti Lourido was last updated on November 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.