Individual provider Active NPI

Mark Anthony Ilko, M.D.

  • Surgery Physician
  • Geneva, NY
National Provider Identifier
1093000580
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
290944-1 Issued in NY
Practice address
200 North St Ste 203
Geneva, NY 14456-1561
Phone
(615) 787-5383
NPI assigned
Jun 13, 2011
Last updated
Mar 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 290944-1 NY Primary

Addresses

Primary practice location

200 North St Ste 203
Geneva, NY 14456-1561

Mailing address

750 E Adams St
Syracuse, NY 13210-2342

Other practice location 1

750 E Adams St
Syracuse, NY 13210-2342
Phone (315) 464-5136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171016000318 NY Practitioner - General Surgery 1153696349 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geneva General Hospital, IncGroup PAC ID 7810809407, shared by 5 NPIs, 88 clinicians

Practice addresses (Care Compare)

200 N St
Suite 203
Geneva, NY 14456-1561
Phone (315) 787-5383

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)11
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290944-1NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soldiers & Sailors Memorial Hospital CurrentSince Aug 30, 2017 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Geneva General Hospital, Inc. Current Accepting new patients
Geneva General Hospital, Inc CurrentSince Aug 30, 2017 Accepting new patients
University Surgical Associates, LLP Surgery CurrentSince Mar 1, 2020 Accepting new patients
Geneva General Hospital Surgery CurrentSince Aug 30, 2017 Accepting new patients
Upstate Community Medical, PC Surgery CurrentSince Jul 15, 2022 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Aug 30, 2017 Accepting new patients
Geneva General Hospital Inc. Past Accepting new patients

Locations

196 North St
Geneva, NY 14456
Phone (315) 787-4156

200 North St
Ste 203
Geneva, NY 14456
Phone (315) 787-4204

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

4900 Broad Rd
Ste 2B
Syracuse, NY 13215
Phone (315) 492-5036

4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678

725 Irving Ave
Ste 401
Syracuse, NY 13210
Phone (315) 464-2878

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Interoperability endpoints

  • Direct secure messaging: m.ilko@flhmedical.medentdirect.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.

Hospital & facility affiliations 4

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1093000580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH ST STE 203",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561561",
            "telephone_number": "615-787-5383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102342",
            "country_code": "US",
            "telephone_number": "315-464-5136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILKO",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "290944-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.