Izabella Ilyasov, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

4301060093 Issued in MI

Practice address

29150 Ford Rd
Garden City, MI 48135-2848

Phone

(734) 762-3600

Fax

(734) 762-3611

NPI assigned

Jan 27, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Trenton, MI
  • NPI 1740230648
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811968902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45859 LATHUM DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483743662",
            "telephone_number": "248-910-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29150 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352848",
            "telephone_number": "734-762-3600",
            "fax_number": "734-762-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILYASOV",
        "first_name": "IZABELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "4301060093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holliday Care Services
• Mischelle Elaine Holt
• Rebecca Marie Huizar, DPT, PT
• Maria Iacoban
• Ihp Mi Emergency Medicine PLLC
• Independence Medical PLLC
• Inspire Home Health Care LLC
• Instalab DX Inc
• Instalab DX Inc
• Kholoud Ismail, NP-BC

• Pediatric Adolescent Medicine Physician in Garden City, MI
• Providers in Garden City, MI by specialty
• Pediatric Adolescent Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.