Individual provider Active NPI

Haroon Ilyas, MD

  • Ophthalmology Physician
  • Brandon, FL
National Provider Identifier
1477521052
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME87288 Issued in FL
Practice address
540 Medical Oaks Ave Ste 103
Brandon, FL 33511-5995
Phone
(813) 684-2211
Fax
(813) 685-0895
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X ME87288 FL
Ophthalmology Physician 207W00000X ME87288 FL Primary

Addresses

Primary practice location

540 Medical Oaks Ave Ste 103
Brandon, FL 33511-5995

Mailing address

540 Medical Oaks Ave Ste 103
Brandon, FL 33511-5995
Phone (813) 684-2211

Other identifiers 1

IdentifierTypeStateIssuer
105434900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hilyas@brandoneyeassociates.intellichartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040623000683 FL Practitioner - Ophthalmology 6406831411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon Eye Associates PA 10 clinicians

Practice addresses (Care Compare)

540 Medical Oaks Ave
Suite 103
Brandon, FL 33511-5995
Phone (813) 684-2211

Merit-based Incentive Payment System (MIPS)

Final score
93.71 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87288FLMDCornea and External Diseases Specialist Physician

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Brandon Eye Associates PA Ophthalmology CurrentSince Jan 3, 2005 Accepting new patients
Point of Care Clinic Central LLC Past Accepting new patients
Pasco Hernando Hma Physician Management, LLC Past Accepting new patients

Locations

540 Medical Oaks Ave
Ste 103
Brandon, FL 33511
Phone (813) 684-2211

1601 W Reynolds St
Ste 100
Plant City, FL 33563
Phone (917) 744-5433

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: hilyas7940@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1477521052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MEDICAL OAKS AVE STE 103",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115995",
            "telephone_number": "813-684-2211",
            "fax_number": "813-655-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MEDICAL OAKS AVE STE 103",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115995",
            "telephone_number": "813-684-2211",
            "fax_number": "813-685-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILYAS",
        "first_name": "HAROON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "FL",
            "license": "ME87288",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME87288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105434900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hilyas@brandoneyeassociates.intellichartdirect.net",
            "affiliation": "N",
            "address_1": "540 Medical Oaks Ave Ste 103",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.