Individual provider Active NPI

Vladimir Alexander Ilin, MD

  • Neurology Physician
  • Virginia Beach, VA
National Provider Identifier
1770111056
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101280362 Issued in VA
Practice address
1950 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 23456-0168
Phone
(757) 507-0600
Fax
(757) 689-3785
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 202303516 NC
Neurology Physician 2084N0400X 0101280362 VA Primary

Addresses

Primary practice location

1950 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 23456-0168

Mailing address

1950 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 23456-0168
Phone (757) 507-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240830000205 NC Practitioner - Neurology 3971934993 Reassigns benefits to 1 organization
I20241004001137 VA Practitioner - Neurology 3971934993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 252-9015

Hospital & facility affiliations

  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202303516NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Physician Services - Sentara, Inc Neurology CurrentSince Jul 1, 2024 Accepting new patients
Sentara Medical Group Neurology CurrentSince Jul 1, 2024 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

600 Gresham Dr
Ste 8610
Norfolk, VA 23507
Phone (757) 252-9015

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1950 Glenn Mitchell Dr
Ste 200
Virginia Beach, VA 23456
Phone (757) 507-0600

Interoperability endpoints

  • Direct secure messaging: vilin989535@direct.sentara.net

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1770111056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 GLENN MITCHELL DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560168",
            "telephone_number": "757-507-0600",
            "fax_number": "757-689-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 GLENN MITCHELL DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560168",
            "telephone_number": "757-507-0600",
            "fax_number": "757-689-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIN",
        "first_name": "VLADIMIR",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "202303516",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101280362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.