LIZA L ILAG MD
NPI 1154499630
Internal Medicine - Endocrinology, Diabetes & Metabolism in Indianapolis, IN

Q: What is Liza Ilag's NPI number?

The NPI number for Liza Ilag is 1154499630. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Liza Ilag's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Liza Ilag was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since December 01, 2006PECOS Enrolled

720 ESKENAZI AVE, INDIANAPOLIS, IN 46202(317) 630-6662 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Sep 12, 2024, Aug 29, 2016 and 1 more (4 updates tracked since 2016).

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About Liza L Ilag Md NPPES

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

LIZA L ILAG MD (NPI 1154499630) is an individual endocrinology, diabetes & metabolism provider in Indianapolis, Indiana, licensed in Indiana (01061472A) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1154499630

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameLIZA L ILAGCredential: MD

Location Address720 ESKENAZI AVEIndianapolis, IN 46202-5187

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 630-6662

Sole ProprietorNo

Enumeration DateDecember 1, 2006

Last NPPES UpdateMarch 10, 20254 updates tracked since enumeration

NPPES CertifiedMarch 10, 2025

✔ NPI 1154499630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in IN · 01061472A

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01061472A (IN)

720 ESKENAZI AVE, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 3

Other000001024674IN · Anthem Ptan

Other1102395240IN · Anthem Ptan

Medicaid201362850IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liza L Ilag Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

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 20

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

MRS. ALEXIS A DAVIS LCSW

Marriage & Family Therapist