Active NPI
Anna Illner, M.D.
- Diagnostic Radiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- M5238
- Practice address
- 6621 Fannin St
Houston, TX 77030-2358 - Phone
- (832) 824-1000
- NPI assigned
- Jun 4, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 01057644 | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 01057644 | IN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 01057644 | IN | |
| Diagnostic Radiology Physician | 2085R0202X | M5238 | TX | Primary |
Addresses
Primary practice location
6621 Fannin St
Houston, TX 77030-2358
Mailing address
250 N Shadeland Ave
Suite 200
Indianapolis, IN 46219-4959
Phone (317) 962-4836
Other practice location 1
1701 N Senate Blvd
Room 1204A
Indianapolis, IN 46202-1239
Phone (317) 962-6793
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200445290 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Medical Branch at Galveston, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8611 N Mopac Expy
Austin, TX 78759-8319
Phone (832) 824-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057644 | IN | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Current | Accepting new patients | |
| Indiana University Health North Hospital, Inc | Past | Accepting new patients | |
| Indiana University Health, Inc | Past | Accepting new patients | |
| Indiana Radiology Partners, Inc | Neuroradiology | Past | Accepting new patients |
| University Radiology Associates | Neuroradiology | Past | Accepting new patients |
| Indiana University Radiology Associates, Inc. | Neuroradiology | Past | Accepting new patients |
Locations
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240
6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866
101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840
17600 Interstate 45 S
The Woodlands, TX 77384
Phone (936) 267-5000
Organizations & group practices 7
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1497712160
Neuroradiology
-
- Surgery Physician
- Carmel, IN
- NPI 1396765731
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1376586719
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
Neuroradiology
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1639124498
Neuroradiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1922046457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"address_2": "SUITE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "317-962-4836",
"fax_number": "317-962-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302358",
"telephone_number": "832-824-1000"
}
],
"practiceLocations": [
{
"address_1": "1701 N Senate Blvd",
"address_2": "Room 1204A",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "317-962-6793",
"fax_number": "317-962-8281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILLNER",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "IN",
"license": "01057644",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01057644",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IN",
"license": "01057644",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "M5238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200445290",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.