Active NPI
Ilia Shlimak, MD
- Internal Medicine Physician
- Acton, MA
National Provider Identifier
1871554964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 76049
- Practice address
- 321 Main St
Acton, MA 01720-3718 - Phone
- (978) 635-8700
- Fax
- (978) 635-8920
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 76049 | MA | Primary |
Addresses
Primary practice location
321 Main St
Acton, MA 01720-3718
Mailing address
321 Main St
Acton, MA 01720-3718
Phone (978) 635-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3138178 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.03 of 100
- Quality
- 86.03
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1871554964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 MAIN ST",
"city": "ACTON",
"state": "MA",
"postal_code": "017203718",
"telephone_number": "978-635-8700",
"fax_number": "978-635-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 MAIN ST",
"city": "ACTON",
"state": "MA",
"postal_code": "017203718",
"telephone_number": "978-635-8700",
"fax_number": "978-635-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHLIMAK",
"first_name": "ILIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "76049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3138178",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Acton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.