Joshua Michael Iltis, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

U7694 Issued in TX

Practice address

4775 Hamilton Wolfe Rd Ste 2
San Antonio, TX 78229-3456

Phone

(210) 614-3600

Fax

(210) 614-3604

NPI assigned

Mar 29, 2020

Sex

Male

Sole proprietor

No

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

Enrolled in TX

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

Ophthalmology

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Antonio Eye Center, PAGroup PAC ID 8325033764, 34 clinicians

Snip and Ference, PAGroup PAC ID 1850365057, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.17 of 100Reported as group

Quality

96.34

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Snip & Ference, PA

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1174630602
  Medicare reassignment Care Compare group NPD
• San Antonio Eye Center, PA

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1407808173
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1558999326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 HAMILTON WOLFE RD STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293456",
            "telephone_number": "210-614-3600",
            "fax_number": "210-614-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 HAMILTON WOLFE RD STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293456",
            "telephone_number": "210-614-3600",
            "fax_number": "210-614-3604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Muhammad Ali Blvd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021511",
            "country_code": "US",
            "telephone_number": "502-852-0710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILTIS",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "U7694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illuminated Direction LLC
• Illuminating Possibility LLC
• Vidhya Devi Srinivasan Illuri, MD
• Jumoke Ilori
• Andrea Marie Iltis, ACNPC-AG
• Brenda Im, RBT
• Cheongin Im, PHD, MSN, RN
• Joshua Im
• Stephen S. Im, M.D.
• Imagdent

• Ophthalmology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.