FERNANDO F. ILLESCAS M.D. NPI 1417933961

NPI Information

  • NPI: 1417933961
  • Provider Name: FERNANDO F. ILLESCAS, M.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • Address: 701 COTTAGE GROVE RD STE E110
    BLOOMFIELD, CT
    ZIP 06002
  • Phone: (860) 265-2529

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NPI Details

Fernando F. Illescas, M.D. is a vascular and interventional radiology radiology in Bloomfield, CT. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Fernando F. Illescas, M.D. NPI is 1417933961. 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:

701 COTTAGE GROVE RD STE E110
BLOOMFIELD, CT
ZIP 06002-085
Phone: (860) 265-2529
Fax: (860) 463-9562

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.

  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS:36465)
  • Injection of chemical agent into multiple incompetent veins of leg (HCPCS:36471)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 12/16/2005 and was last updated on 5/3/2018.

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
12085R0204XRadiologyVascular & Interventional Radiology031371CONNECTICUTYes

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
1010031371CT01OTHERCONNECTICUTANTHEM BC/BS
21417933961MEDICAIDCONNECTICUT
3A2516306OTHERCONNECTICUTOXFORD
4001313717MEDICAIDCONNECTICUT

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: 3/30/2025

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