Active NPI
Annette Ilg, M.D.
- Emergency Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 267188
- Practice address
- 1 Deaconess Rd
Rosenberg 2
Boston, MA 02215-5321 - Phone
- (440) 670-4200
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 35.154900 | OH | |
| Emergency Medicine Physician | 207P00000X | 267188 | MA | Primary |
Addresses
Primary practice location
1 Deaconess Rd
Rosenberg 2
Boston, MA 02215-5321
Mailing address
75 Peterborough St
Apt 501
Boston, MA 02215-4311
Phone (440) 670-4200
Other practice location 1
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 217-4430
Other practice location 2
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-8279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267188 | Other | MA | MASSACHUSETTS LIMITED LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Hospital & facility affiliations
- Brigham and Women'S Hospital
- Massachusetts General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267188 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham & Womens Physicians Organization Inc | Emergency Medicine | Current | Accepting new patients |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Critical Care Medicine | Current | Accepting new patients |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Emergency Medicine | Current | Accepting new patients |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
1 Deaconess Rd
#2
Boston, MA 02215
Phone (617) 754-2323
55 Fruit St
Boston, MA 02114
75 Francis St
Boston, MA 02115
1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000
199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000
148 Chestnut St
Needham, MA 02492
Phone (781) 453-3000
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
Interoperability endpoints
- ilg.annette.bwh@direct.partners.masshiway.net
- ailg43625@direct.southcoast.org
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
Emergency Medicine
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Critical Care Medicine
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1629427919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PETERBOROUGH ST",
"address_2": "APT 501",
"city": "BOSTON",
"state": "MA",
"postal_code": "022154311",
"telephone_number": "440-670-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DEACONESS RD",
"address_2": "ROSENBERG 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155321",
"telephone_number": "440-670-4200"
}
],
"practiceLocations": [
{
"address_1": "9500 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441950001",
"country_code": "US",
"telephone_number": "216-217-4430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156110",
"country_code": "US",
"telephone_number": "617-732-8279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILG",
"first_name": "ANNETTE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "OH",
"license": "35.154900",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "267188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS LIMITED LICENSE",
"identifier": "267188",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.