Individual provider Active NPI

Ilyas F Iliya, MD

  • Nephrology Physician
  • San Francisco, CA
National Provider Identifier
1336214634
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A51765 Issued in CA
Practice address
1580 Valencia Street
Ste 806
San Francisco, CA 94110
Phone
(415) 647-6660
Fax
(415) 647-8339
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A51765 CA Primary

Addresses

Primary practice location

1580 Valencia Street
Ste 806
San Francisco, CA 94110

Mailing address

2100 Webster Street
Ste 405
San Francisco, CA 94115
Phone (415) 923-3456

Other identifiers 1

IdentifierTypeStateIssuer
00A517560MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080430000381 CA Practitioner - NephrologyPractitioner - Internal Medicine 1355420431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.31 of 100Reported as group
Quality
80.79
Promoting interoperability
100
Improvement activities
40
Cost
73.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51765CAMDNephrology Physician
51765CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Medical Associates Nephrology CurrentSince Jan 1, 2008 Accepting new patients

Locations

2100 Webster St
Ste 320
San Francisco, CA 94115
Phone (415) 923-3456

1580 Valencia St
Ste 806
San Francisco, CA 94110
Phone (415) 647-6660

2100 Webster St
Ste 405
San Francisco, CA 94115
Phone (415) 923-3456

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1336214634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER STREET",
            "address_2": "STE 405",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-923-3456",
            "fax_number": "415-923-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA STREET",
            "address_2": "STE 806",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-647-6660",
            "fax_number": "415-647-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIYA",
        "first_name": "ILYAS",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A51765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A517560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.