Individual provider Active NPI

Karina Illescas, MDCM

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1215329693
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
278410 Issued in NY
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

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160817001676 MA Practitioner - Diagnostic Radiology 3173844941 Reassigns benefits to 9 organizations
I20230517000606 NH Practitioner - Diagnostic Radiology 3173844941 Reassigns benefits to 1 organization
I20231002002563 VT Practitioner - Diagnostic Radiology 3173844941 Reassigns benefits to 1 organization

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
Mass General Brigham Community Physicians IncGroup PAC ID 1759273436, 430 clinicians
Cooley Dickinson Hospital IncGroup PAC ID 8123090560, 32 clinicians
South Texas Radiology Group PAGroup PAC ID 2567365083, 84 clinicians

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 Hospital, Dover, NH, CCN 300018
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce Diagnostic Radiology CurrentSince Aug 4, 2016 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Oct 25, 2022 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 4, 2016 Accepting new patients
South Texas Radiology Group PA Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
The General Hospital Corporation CurrentSince Oct 1, 2022 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Oct 25, 2022 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
General Hospital Corp Current Accepting new patients
MW Radiology-Cra LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Oct 25, 2022 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Oct 1, 2022 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

  • Direct secure messaging: illescas.karina.mgh@direct.partners.masshiway.net
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.