Individual provider Active NPI

Erum N Ilyas, MD

  • Dermatology Physician
  • King of Prussia, PA
National Provider Identifier
1003800541
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD424557 Issued in PA
Practice address
860 First Ave
Suite 8B
King of Prussia, PA 19406-4033
Phone
(610) 265-1166
Fax
(215) 265-1186
NPI assigned
Sep 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD424557 PA Primary

Addresses

Primary practice location

860 First Ave
Suite 8B
King of Prussia, PA 19406-4033

Mailing address

860 First Ave
Suite 8B
King of Prussia, PA 19406-4033
Phone (610) 265-1166

Other names 1

  • Erum N Khan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728000167 PA Practitioner - Dermatology 8921035080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Drexel University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Centre for Dermatology, LLCGroup PAC ID 4183603335, 40 clinicians

Practice addresses (Care Compare)

120 Valley Green LN
FL 5
King of Prussia, PA 19406-2079
Phone (610) 265-1166

822 Pine St
Philadelphia, PA 19107-6187
Phone (267) 519-0154

860 1St Ave
Suite 8B
King of Prussia, PA 19406-4033
Phone (212) 283-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions1006
Skin biopsy320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD424557PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Centre for Dermatology, LLC Dermatology CurrentSince Oct 21, 2020 Accepting new patients
Drexel University Current Accepting new patients
Drexel University CurrentSince Oct 1, 2016 Accepting new patients
Drexel University CurrentSince Oct 1, 2016 Accepting new patients
Philadelphia Hand Surgeon PLLC Past Accepting new patients
Advanced Dermatology of Pennsylvania, PC Dermatology PastSince Jul 28, 2015 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Bryn Mawr Dermatology, P.C. Dermatology PastSince Nov 1, 2005 Accepting new patients
Andrew K Pollack Dermatology Past Accepting new patients

Locations

120 Valley Green Ln
#5
King of Prussia, PA 19406

120 Valley Green Ln
Fl 5
King of Prussia, PA 19406
Phone (484) 444-2243

120 Valley Green Ln
Kng of Prussa, PA 19406
Phone (610) 526-3000

860 1st Ave
Ste 8B
Kng of Prussa, PA 19406
Phone (610) 265-1166

120 Valley Green Ln
Ste 6
Kng of Prussa, PA 19406

10000 Shannondell Dr
Norristown, PA 19403
Phone (610) 728-5236

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

822 Pine St
Ste 2A
Philadelphia, PA 19107
Phone (267) 519-0154

Networks

  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8

Interoperability endpoints

  • Direct secure messaging: erum.ilyas@schweigerderm.emadirect.md
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEDIDD

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1003800541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 FIRST AVE",
            "address_2": "SUITE 8B",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-265-1166",
            "fax_number": "215-265-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 FIRST AVE",
            "address_2": "SUITE 8B",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-265-1166",
            "fax_number": "215-265-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILYAS",
        "first_name": "ERUM",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD424557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERUM",
            "last_name": "KHAN",
            "middle_name": "N",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.