Romulo Manuel Banaag Jr.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP139528 Issued in TX

Practice address

2011 N Collins Blvd Ste 607
Richardson, TX 75080-2636

Phone

(800) 640-3451

NPI assigned

Nov 5, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southwest Central Wound Care Clinic PLLCGroup PAC ID 6800393281, 2 clinicians

Accura Health II LLCGroup PAC ID 7911303391, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amcare Pro Home Health Home health agency, Richardson, TX, CCN 747770

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dal Post Acute Partners, PLLC

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1174298350
  Medicare reassignment Care Compare group NPD
• Southwest Central Wound Care Clinic PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1356153845

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Zaz Health Solutions PLLC

  • Surgical Oncology Physician
  • Katy, TX
  • NPI 1548801715
  Medicare reassignment NPD
• Association for Improving Medical Accessibility Corporation

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1538229505
  NPD
• Promedical Care PLLC

  • Family Nurse Practitioner
  • Garland, TX
  • NPI 1467863688
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Izen Healthcare Services Inc.

  • Home Health Agency
  • Richardson, TX
  • NPI 1447427125
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1952879280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NORWAY PINE ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122532",
            "telephone_number": "551-998-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 N COLLINS BLVD STE 607",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802636",
            "telephone_number": "800-640-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAAG",
        "first_name": "ROMULO",
        "middle_name": "MANUEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP139528",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP139528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Balducci
• Beverly Ann Ballard
• Rachel L Ballard, MS, CF/SLP
• William C Baltazar, DDS
• Jordan Baluyot
• Elizabeth Bands, BS
• Veronicah Banga
• Denise Cantu Bannister, M.D.
• Jennifer Barbee
• Caroline Elise Barber, FNP

• Nurse Practitioner in Richardson, TX
• Providers in Richardson, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.