Active NPI
Karina Illescas, MDCM
- Diagnostic Radiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 278410
- Practice address
- 525 E 68TH Street, Box 141, Department of Radiology
Newyork-Presbyterian - Weill Cornell Medical College
New York, NY 10065-4885 - Phone
- (212) 746-6000
- Fax
- (646) 962-0122
- NPI assigned
- Feb 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 278410 | NY | Primary |
Addresses
Primary practice location
525 E 68TH Street, Box 141, Department of Radiology
Newyork-Presbyterian - Weill Cornell Medical College
New York, NY 10065-4885
Mailing address
30 Ricker Rd
Newton, MA 02458-2148
Phone (347) 348-5121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- McGill University, Faculty of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Norwich, VT 05055
Phone (617) 643-0030
102 Endicott St
Danvers, MA 01923-3623
Phone (978) 354-4181
12 College Hwy
Southampton, MA 01073-9406
Phone (413) 527-1105
170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909
227 Route 132
Norwich, VT 05055-9691
Phone (210) 582-2288
30 Ricker Rd
Newton, MA 02458-2148
Phone (210) 616-7700
30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100
480 Lynnfield St
Lynn, MA 01904-1419
Phone (781) 342-4386
65 Calef Hwy
Lee, NH 03861-6703
Phone (603) 740-2250
67 Corporate Dr
Portsmouth, NH 03801-2847
Phone (603) 740-2250
701 Central Ave
Dover, NH 03820-3403
Phone (603) 740-2250
789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2250
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-4181
Hospital & facility affiliations
- Wentworth-Douglass Hospital
- North Shore Medical Center -
- Newton-Wellesley Hospital
- Cooley Dickinson Hospital Inc,the
- Massachusetts General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce | Diagnostic Radiology | Current | Accepting new patients |
| Cooley Dickinson Hospital Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| South Texas Radiology Group PA | Diagnostic Radiology | Current | Accepting new patients |
| The General Hospital Corporation | Current | Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Current | Accepting new patients | |
| Hampshire Pathologists, Inc. | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Diagnostic Radiology | Current | Accepting new patients |
| General Hospital Corp | Current | Accepting new patients | |
| MW Radiology-Cra LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cooley Dickinson Hospital Inc | Current | Accepting new patients | |
| Merrimack Radiology-Cra LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients |
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
102 Endicott St
Danvers, MA 01923
Phone (978) 882-6100
295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026
30 Locust St
Northampton, MA 01060
Phone (413) 582-2000
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063
12 College Hwy
Southampton, MA 01073
Phone (413) 527-1105
30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100
Interoperability endpoints
- illescas.karina.mgh@direct.partners.masshiway.net
- killescas28702@tuftsmedicine.direct-ci.com
Organizations & group practices 14
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.
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
NH, VT
-
- Body Imaging Physician
- Boston, MA
- NPI 1275574899
Diagnostic Radiology
-
- Family Medicine Physician
- Northampton, MA
- NPI 1295787919
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Lowell, MA
- NPI 1275871154
-
- Diagnostic Radiology Physician
- Melrose, MA
- NPI 1114555398
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Urgent Care Clinic/Center
- Southampton, MA
- NPI 1932669272
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Anatomic Pathology & Clinical Pathology Physician
- Northampton, MA
- NPI 1750326161
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1215329693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 RICKER RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582148",
"telephone_number": "347-348-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 68TH STREET, BOX 141, DEPARTMENT OF RADIOLOGY",
"address_2": "NEWYORK-PRESBYTERIAN - WEILL CORNELL MEDICAL COLLEGE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654885",
"telephone_number": "212-746-6000",
"fax_number": "646-962-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILLESCAS",
"first_name": "KARINA",
"name_prefix": "Dr.",
"credential": "MDCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-23",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "278410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.