Mark Iltis, DO

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

05248 Issued in KY

Practice address

2350 Regency Rd Ste a
Lexington, KY 40503-2351

Phone

(859) 278-4960

Fax

(859) 278-0033

NPI assigned

May 15, 2015

Last updated

Jun 2, 2023By the provider in NPPES

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 KY

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

Specialty

Vascular Surgery

Education

Nova Southeastern College of Osteo Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Surgical Associates PSCGroup PAC ID 1355248675, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
• Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010

Merit-based Incentive Payment System (MIPS)

Final score

83.7 of 100Reported as group

Quality

73.78

Improvement activities

40

Cost

64.88

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: markiltis@fsa.allscriptsdirect.net
• Direct secure messaging: miltis293663@direct.stlukeshealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Surgical Associates, P.S.C.

  dba Fayette Surgical Associates

  • Surgery Physician
  • Lexington, KY
  • NPI 1831140565

  Vascular Surgery

  Medicare reassignment Care Compare group NPD
• Baptist Healthcare System, Inc

  dba Baptist Health Lexington

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1538244918
  NPD (past)

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

• Baptist Healthcare System, Inc

  dba Baptist Health Lexington

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1538244918
  Care Compare affiliation
• Saint Joseph Health System Inc

  dba Kentucky Laboratory System

  • Clinical Medical Laboratory
  • Lexington, KY
  • NPI 1215227012

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph Hospital

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1437150984
  Care Compare affiliation
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph Jessamine

  • Clinic/Center
  • Nicholasville, KY
  • NPI 1861650814

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1952789430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 REGENCY RD STE A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032351",
            "telephone_number": "859-278-4960",
            "fax_number": "859-278-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 REGENCY RD STE A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032351",
            "telephone_number": "859-278-4960",
            "fax_number": "859-278-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILTIS",
        "first_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "05248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niyukwizera Neema Ileine, CSW
• Michele Iler
• Tania Iliashenko
• Paul Ilkanich, MD
• Ilove Counseling & Consulting LLC
• Insija Ilyas Selene, MD
• Imac Medical of Kentucky PSC
• Imac Medical of Kentucky PSC
• Aleeza Imam
• Vida Alexandra Imani, PA-C

• Vascular Surgery Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Vascular Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.