Michael Illingworth, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G68327 Issued in CA

Practice address

1945 N Fine Ave Ste 100
Fresno, CA 93727-1528

Phone

(559) 457-5650

Fax

(559) 457-5695

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

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 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• First Health Medical Center of Fresno Inc

  • Chiropractor
  • Fresno, CA
  • NPI 1437220001
  Medicare reassignment NPD
• Vohra Wound Physicians of Ca, P.C.

  • Family Medicine Physician
  • Dinuba, CA
  • NPI 1841599339
  Medicare reassignment NPD
• West Coast Wound and Skin Care Inc

  • Surgery Physician
  • Burbank, CA
  • NPI 1437675980
  Medicare reassignment NPD
• Michael L Illingworth, MD Inc

  • Obstetrics & Gynecology Physician
  • Clovis, CA
  • NPI 1023344991
  NPD (past) Authorized official
• Gilbert K. Moran M.D. F.a.C.O.G. Inc

  • Obstetrics & Gynecology Physician
  • Clovis, CA
  • NPI 1376859223
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1932251089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 N FINE AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271528",
            "telephone_number": "559-457-5650",
            "fax_number": "559-457-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 N FINE AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271528",
            "telephone_number": "559-457-5650",
            "fax_number": "559-457-5695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7202 N Millbrook Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203341",
            "country_code": "US",
            "telephone_number": "559-457-6950",
            "fax_number": "559-457-6997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILLINGWORTH",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G68327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ildefonso Cruz M D a Professional Corp
• Ildefonso Cruz MD Medical Corporation
• Daniel Edward Ildefonso, CADTP 22439
• Travis Iler
• Sergio Ilic
• Imaba Inc.
• Imagine You, Inc
• April Amber Imboden
• Imc Care Home, Inc
• Imgrx SJ Valley, Inc. (United Health Centers Pharmacy Fresno)

• Obstetrics & Gynecology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.

Verify at the official NPI Registry.