LIZA L ILAG MD NPI 1154499630

NPI Information

NPI: 1154499630
Provider Name: LIZA L ILAG, MD
Classification: Internal Medicine - 207RE0101X
Specialization: Endocrinology, Diabetes & Metabolism
Entity Type: Individual
PECOS Registration: Yes
Address: 720 ESKENAZI AVE
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 630-6662

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NPI Details

Liza L Ilag, MD is an endocrinology and diabetes and metabolism internal medicine in Indianapolis, IN. The provider is 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. Liza L Ilag, MD NPI is 1154499630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

720 ESKENAZI AVE
INDIANAPOLIS, IN
ZIP 46202-187
Phone: (317) 630-6662

The NPI 1154499630 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 3/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		01061472A	INDIANA	No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	01061472A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000001024674	OTHER	INDIANA	ANTHEM PTAN
2	1102395240	OTHER	INDIANA	ANTHEM PTAN
3	201362850	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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