Individual provider Active NPI

Laura M Ilg, RD, LD

  • Registered Dietitian
  • Akron, OH
National Provider Identifier
1083795629
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
95110 Issued in OH
Practice address
95 Arch Summa Health
Akron, OH 44304
Phone
(330) 606-8901
NPI assigned
Oct 18, 2006
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4954 TN
Registered Dietitian 133V00000X 95110 OH Primary

Addresses

Primary practice location

95 Arch Summa Health
Akron, OH 44304

Mailing address

95 Arch Summa Health
Akron, OH 44304
Phone (216) 524-7377

Other practice location 1

1607 Westgate Cir Ste 200
Brentwood, TN 37027-8077
Phone (615) 376-8195

Other identifiers 2

IdentifierTypeStateIssuer
5766OtherOHLICENSED DIETICIAN
951110OtherOHREGISTRATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050713001275 OH Practitioner - Registered Dietitian Or Nutrition Professional 8628004314 Reassigns benefits to 1 organization
I20250124003120 TN Practitioner - Registered Dietitian Or Nutrition Professional 8628004314 Reassigns benefits to 1 organization
I20250724003170 GA Practitioner - Registered Dietitian Or Nutrition Professional 8628004314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

1607 Westgate Cir
Suite 200
Brentwood, TN 37027-8077
Phone (615) 376-8195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95110OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Center for Primary Care PC CurrentSince Jul 1, 2025 Accepting new patients
Summa Physicians LLC CurrentSince Nov 30, 2020 Accepting new patients
Edisonhealth LLC Dietitian, Registered CurrentSince Sep 26, 2024 Accepting new patients
Summa Physicians LLC CurrentSince Nov 30, 2020 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jan 23, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jan 23, 2025 Accepting new patients
Trinity Hospital Holding Company Past Accepting new patients
Murfreesboro Medical Clinic, P.a. Past Accepting new patients

Locations

1701 Magnolia Way
Ste 101
Augusta, GA 30909
Phone (706) 922-6600

363 N Belair Rd
Evans, GA 30809
Phone (706) 650-7563

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

95 Arch St
Akron, OH 44304
Phone (330) 375-3039

1607 Westgate Cir
Ste 200
Brentwood, TN 37027
Phone (615) 376-8195

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

2021 Richard Jones Rd
Ste 350B
Nashville, TN 37215
Phone (214) 789-7233

Interoperability endpoints

  • Direct secure messaging: laura.ilg.1@20785.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1083795629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ARCH SUMMA HEALTH",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44304",
            "telephone_number": "216-524-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ARCH SUMMA HEALTH",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44304",
            "telephone_number": "330-606-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 Westgate Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370278077",
            "country_code": "US",
            "telephone_number": "615-376-8195",
            "fax_number": "833-464-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILG",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "4954",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "95110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETICIAN",
            "identifier": "5766",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION",
            "identifier": "951110",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.