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ILYA M NASRALLAH MD NPI 1982753885


NPI Information

NPI: 1982753885
Provider Name: ILYA M NASRALLAH, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
3400 SPRUCE STREET
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 615-8054
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Ilya M Nasrallah, MD is a diagnostic radiology radiology in Philadelphia, PA with 19 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Ilya M Nasrallah, MD NPI is 1982753885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:2005

The provider's business location address is:

3400 SPRUCE STREET
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 615-8054

The NPI 1982753885 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)
  • Ct scan head or brain (HCPCS:70450)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • Nuclear medicine study with ct imaging whole body (HCPCS:78816)
  • Ct scan of face (HCPCS:70486)

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/19/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiologyMD439819PENNSYLVANIANo
22085R0202XRadiologyDiagnostic RadiologyMD439819PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1181948MEDICARE PINPENNSYLVANIA
2102472676-0001MEDICAIDPENNSYLVANIA
3181948D2YMEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.