Karl Armistead Illig, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

ME111162 Issued in FL

Practice address

2 Tampa General Cir
Usf Vascular Surgery Ste.300
Tampa, FL 33606-3603

Phone

(813) 259-0921

Fax

(813) 259-0606

NPI assigned

Jun 19, 2006

Last updated

May 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Vascular Surgery

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Surgeons and Physicians Network IncGroup PAC ID 8426304221, 62 clinicians

1960 Physician AssociatesGroup PAC ID 1153611975, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ad Hospital East, LLC Hospital, Houston, TX, CCN 670102
• Baytown Medical Center LP Hospital, Baytown, TX, CCN 670109

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: karl.illig.1@13131.direct.athenahealth.com

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

• Advanced Surgeons & Physicians Network, Inc.

  dba Advanced Medical Group

  • Family Medicine Physician
  • Houston, TX
  • NPI 1508030917
  Medicare reassignment Care Compare group NPD
• 1960 Physician Associates

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1215391941
  Care Compare group
• Vascular Surgery of the University

  • Vascular Surgery Physician
  • Rochester, NY
  • NPI 1053332189
  NPD (past)

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

• Ad Hospital East, LLC

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1669732178
  Care Compare affiliation
• Baytown Medical Center, LP

  • General Acute Care Hospital
  • Baytown, TX
  • NPI 1457820995
  Care Compare affiliation
• Baytown Medical Center, LP

  dba Independence Heights Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1780436287
  Care Compare affiliation

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1023053303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "address_2": "USF VASCULAR SURGERY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917770",
            "telephone_number": "813-259-0921",
            "fax_number": "813-259-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TAMPA GENERAL CIR",
            "address_2": "USF VASCULAR SURGERY STE.300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063603",
            "telephone_number": "813-259-0921",
            "fax_number": "813-259-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLIG",
        "first_name": "KARL",
        "middle_name": "ARMISTEAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME111162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004120700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14H55",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher A Iler, PSY.D.
• Elizabeth Ann Iler, M.S. CCC-SLP
• Arzu Ilercil, MD
• Nicholas Illanes
• John Matthew Illes, B.A
• Chinwe Ifeyinwa Iloanya
• Chiamaka Ilonzo, M.D.
• Imad Razvi MD LLC
• Imagine Blue ABA
• Imagine Pediatrics of Florida LLC

• Vascular Surgery Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.