PETRONIO ILAGAN MD NPI 1639122047

NPI Information

NPI: 1639122047
Provider Name: PETRONIO ILAGAN, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS INC

PECOS Registration: Yes

Address:
3900 ST FRANCIS WAY STE 200
LAFAYETTE, IN
ZIP 47905
Phone: (765) 775-2800
Get Directions

Petronio Ilagan, MD is a neurology psychiatry neurology in Lafayette, IN with 54 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Petronio Ilagan, MD NPI is 1639122047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3900 ST FRANCIS WAY STE 200
LAFAYETTE, IN
ZIP 47905-940
Phone: (765) 775-2800
Fax: (765) 775-2831

The NPI 1639122047 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 enumeration date for this NPI number is 5/18/2006 and was last updated on 6/7/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	01030521A	INDIANA	Yes
2	2084N0400X	Psychiatry & Neurology	Neurology	MD425688	PENNSYLVANIA	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100250920	MEDICAID	INDIANA
2	1011908700001	MEDICAID	PENNSYLVANIA
3	231420CC	OTHER	INDIANA	MEDICARE

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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »