YBL PLLC
NPI 1295057503
Radiology - Diagnostic Radiology in Tamuning, GU

Active since March 01, 2010
643 CHALAN SAN ANTONIO, STE 109, TAMUNING, GU 96913(671) 648-6390(671) 648-6398 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ybl Pllc NPPES

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

YBL PLLC (NPI 1295057503) is a healthcare organization registered as a diagnostic radiology in Tamuning, Guam and active in the NPI registry since March 2010. The organization lists Vincent V Lizama, Manager, as its authorized official.

NPPES Registry Identity

NPI1295057503
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameYBL PLLC
Location Address643 CHALAN SAN ANTONIO, STE 109Tamuning, GU 96913-3644
Mailing Address643 Chalan San Antonio, Ste 109Tamuning, GU 96913-3644 · (671) 648-6390 · Fax (671) 648-6398
Fax(671) 648-6398
Organization SubpartNo
Authorized OfficialVincent V LizamaManager · 16717775259
Enumeration DateMarch 1, 2010
Last NPPES UpdateSeptember 15, 2011
✔ NPI 1295057503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in GU · M001519
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License M001519 (GU)
643 CHALAN SAN ANTONIO, Tamuning, GU 96913

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ybl Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGuamEnrollment IDO20120413000671Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Ybl PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Diagnostic Radiology
NPI 1730573056
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0404
✔ PECOS✔ Accepts Medicare7,254 mi
Diagnostic Radiology
NPI 1285639690
5400 KENNEDY AVE
Cincinnati, OH 45213
(513) 281-3400
✔ PECOS✔ Accepts Medicare7,624 mi
Diagnostic Radiology
NPI 1760428221
701 E MARSHALL STREET
Westchester, PA 19380
(610) 431-5131
✔ PECOS✔ Accepts Medicare7,934 mi
Diagnostic Radiology
NPI 1366737405
6275 E VIRGINIA BEACH BLVD STE 300
Norfolk, VA 23502
(757) 466-0089
✔ PECOS✔ Accepts Medicare8,065 mi
Diagnostic Radiology
NPI 1033183264
643 CHALAN SAN ANTONIO STE 109
Tamuning, GU 96913
(671) 648-6390
✔ PECOS
Diagnostic Radiology
NPI 1417918764
548 SOUTH MARINE CORPS DRIVE
Tamuning, GU 96913
(671) 646-5824
✔ PECOS
Diagnostic Radiology
NPI 1629120381
850 GOVERNOR CARLOS CAMACHO ROAD
Oka Tamuning, GU 96913
(671) 647-2418
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ybl PLLC's NPI number?

The NPI number for Ybl PLLC is 1295057503. It was assigned to this organization in the NPPES registry on March 1, 2010.

Where is Ybl PLLC located?

Ybl PLLC is located at 643 Chalan San Antonio Ste 109, Tamuning, GU 96913. The listed phone number is (671) 648-6390.

What is Ybl PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ybl PLLC enrolled in Medicare?

Yes. Ybl PLLC is registered in the Medicare PECOS enrollment system.

When is Ybl PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Guam, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ybl PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Ybl PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ybl PLLC was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.