Maria G Ilao-Pahm, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34758 Issued in WI

Practice address

2315 E Moreland Blvd
Westbrook Walk-in Clinic
Waukesha, WI 53186-2939

Phone

(262) 532-5800

Fax

(262) 532-5760

NPI assigned

Aug 23, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Union Grove, WI
  • NPI 1245440601
  NPD (past)
• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oshkosh, WI
  • NPI 1326858044
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1639286156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 E MORELAND BLVD",
            "address_2": "WESTBROOK WALK-IN CLINIC",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862939",
            "telephone_number": "262-532-5800",
            "fax_number": "262-532-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E MORELAND BLVD",
            "address_2": "WESTBROOK WALK-IN CLINIC",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862939",
            "telephone_number": "262-532-5800",
            "fax_number": "262-532-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAO-PAHM",
        "first_name": "MARIA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "34758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639286156",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Hutchison
• Hannah P Huth, PA
• Andrew Huxford
• Ronald S Hylton, SAC-IT
• Jill Ibarra, RN
• Theresa Ann Imp, RN
• Independence Plus- Wi, LLC
• Infinity Healthcare Physicians, S.C.
• Infinity Healthcare Physicians, S.C.
• Sarah J Ingle

• Family Medicine Physician in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.