VIVIAN A. ILLERA MD – NPI #1790741148
Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
VIVIAN ILLERA is a physician located in WICHITA, KS. NPPES has assigned the NPI number 1790741148 to VIVIAN ILLERA on April 25, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name VIVIAN ANA ILLERA. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology
The NPI profile was previously updated about 15 years ago on Jul 11, 2011. 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 VIVIAN ILLERA below.
NPI Profile for
VIVIAN A. ILLERA
(more than 20 years ago)
WICHITA, KS 67206-3405 Phone: (316) 612-4815 Fax: (316) 681-0244
Identifiers for VIVIAN ILLERA
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | KS | 100170460B |
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 |
|---|---|---|
| 207RR0500X - Internal Medicine / Rheumatology (Primary) |
KS | 04-25436 |
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.