JOANNE M. ILUSTRE DO – NPI #1750545661
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

JOANNE ILUSTRE is a physician located in RIDLEY PARK, PA. NPPES has assigned the NPI number 1750545661 to JOANNE ILUSTRE on July 10, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 5 years ago on Jan 06, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOANNE ILUSTRE below.

NPI Profile for
JOANNE M. ILUSTRE

NPI Number
1750545661
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JOANNE M. ILUSTRE
Credentials
DO
Primary location
1 BARTOL AVE STE 10
RIDLEY PARK, PA 19078-2214
Phone: (610) 521-0150 Fax: (610) 521-6493
2 Other location(s):
1088 W. Baltimore Pike
4th Floor Suite 2400
Media, PA 19063-1906
Phone: (610) 565-2100
Fax: (610) 892-0626
1 MEDICAL CENTR BLVD
P O Bldg 1 - Suite 400
UPLAND, PA 19013
Phone: (610) 876-2400
Fax: (610) 876-4308
Mailing address
3521 SILVERSIDE RD
STE 1C
WILMINGTON, DE 19810-4900
Phone: (267) 479-4142 Fax: (215) 463-3820
Sole Proprietor
No
Updated
Certification Date
Jan 06, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JOANNE ILUSTRE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA1035757110003
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 DE C20011444
207RI0011X
- Internal Medicine / Interventional Cardiology		 PA OS015002

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY - Graduated 2008
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JOANNE ILUSTRE is affiliated with the following medical group(s):
  • HOSPITAL
    • BAYHEALTH HOSPITAL, KENT CAMPUS
      640 S STATE STREET
      DOVER, DE 19901
    • CHRISTIANA HOSPITAL
      4755 OGLETOWN-STANTON ROAD
      NEWARK, DE 19718

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.