James Ilko, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35700 Issued in MN

Practice address

1687 Woodlane Drive
Suite 102
Woodbury, MN 55125-3045

Phone

(651) 209-6685

Fax

(651) 209-1680

NPI assigned

Nov 1, 2006

Last updated

May 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19405/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/9801/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/EJBIAD
• Direct secure messaging: james.ilko@avera.sdhealthlink.net

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.

• St Paul Allergy & Asthma Clinic P.a.

  • Allergy & Immunology Physician
  • Saint Paul, MN
  • NPI 1952401804
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1306924915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 REDWOOD DR",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560313025",
            "telephone_number": "612-802-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 WOODLANE DRIVE",
            "address_2": "SUITE 102",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253045",
            "telephone_number": "651-209-6685",
            "fax_number": "651-209-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILKO",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "35700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Kimlong Huynh, MD
• Jasmine Dawn Hynes
• Hyatt M Ibrahim
• Ideal Perception Mental Health Services LLC
• Ilko Family Medicine PA
• Georgia Rae Illa
• Jarryd Patrick Imoto, DC
• Impact Psychology PLLC
• Infertility Lab and Surgery Center
• Infinite Health Collaborative, PA

• Family Medicine Physician in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.