Individual provider Active NPI

Illona Yakovlevna Izmailova, NP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1063180404
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
233295 Issued in AZ
Practice address
6567 E Carondelet Dr Ste 225
Tucson, AZ 85710-6154
Phone
(520) 886-3432
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 233295 AZ Primary
Registered Nurse 163W00000X 233295 AZ

Addresses

Primary practice location

6567 E Carondelet Dr Ste 225
Tucson, AZ 85710-6154

Mailing address

6567 E Carondelet Dr Ste 225
Tucson, AZ 85710-6154
Phone (520) 886-3432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20250305001693 AZ Practitioner - Nurse Practitioner 8123549292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

6567 E Carondelet Dr
Suite 225
Tucson, AZ 85710-6154
Phone (520) 886-3432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC CurrentSince Feb 18, 2025 Accepting new patients
Carondelet Medical Group, Inc Family Past Accepting new patients

Locations

6567 E Carondelet Dr
Ste 225
Tucson, AZ 85710
Phone (520) 886-3432

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

Interoperability endpoints

  • Direct secure messaging: illona.izmailova.1@600.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1063180404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 225",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106154",
            "telephone_number": "520-886-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 225",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106154",
            "telephone_number": "520-886-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZMAILOVA",
        "first_name": "ILLONA",
        "middle_name": "YAKOVLEVNA",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "233295",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "233295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.