Amy L Illescas, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23912 Issued in AL

Practice address

10 Meadowview Dr
Hoover, AL 35242-7700

Phone

(205) 547-2323

Fax

(205) 995-0955

NPI assigned

Jul 19, 2006

Last updated

Oct 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Internal Medicine

Education

University of Alabama School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern Care Internal Medicine PCGroup PAC ID 2668642794, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
• Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score

39.23 of 100Reported as individual

Quality

42.49

Improvement activities

0

Cost

74.12

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.illescas@southencare.eclinicaldirectplus.com

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.

• Southern Care Internal Medicine PC

  • Internal Medicine Physician
  • Hoover, AL
  • NPI 1881972073
  Medicare reassignment Care Compare group NPD Authorized official
• Clanton Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Clanton, AL
  • NPI 1669428090
  NPD (past)
• Southern Medical Group, Inc

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1194736009
  NPD (past)
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Affinity Hospital LLC

  dba Grandview Medical Center

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  Care Compare affiliation
• Eh Health Home Health of Birmingham, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Hoover, AL
  • NPI 1629539077
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1346269123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEADOWVIEW DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352427700",
            "telephone_number": "205-547-2323",
            "fax_number": "205-995-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEADOWVIEW DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352427700",
            "telephone_number": "205-547-2323",
            "fax_number": "205-995-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLESCAS",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "23912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS#",
            "identifier": "515-94994",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA MEDICARE PTAN#",
            "identifier": "051540201",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherese Hunter
• Katherine Hunter
• Darby Patzius Hutcherson, PA-C
• Alexandria Grace Hyde, M.S., OTR/L
• Vitalii Iakovliev, MD
• Imedex
• Inclusive Psychotherapy LLC
• Dawson Ryan Ingram
• Hannah Turner Ingram, OTD, OTR/L
• Jacqueline Ingram, CRNP

• Internal Medicine Physician in Hoover, AL
• Providers in Hoover, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.