INNA IALAMA
NPI 1043175573
Physician Assistant in Kenosha, WI

Active since December 17, 2025PECOS EnrolledAccepts Medicare Assignment
6811 118TH AVE, KENOSHA, WI 53142(262) 857-5750 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2026, Jan 5, 2026, Dec 17, 2025 (3 updates tracked since 2025).

About Inna Ialama NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNA IALAMA (NPI 1043175573) is an individual physician assistant in Kenosha, Wisconsin, licensed in Wisconsin (8603-23) and active in the NPI registry since December 2025. The provider is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043175573
Entity TypeIndividual
Primary Taxonomy363A00000X
Provider Legal NameINNA IALAMA
Location Address6811 118TH AVEKenosha, WI 53142-8420
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 17, 2025
Last NPPES UpdateJune 24, 20263 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1043175573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 8603-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6811 118TH AVE, Kenosha, WI 53142

Other Identifiers 1

Medicaid100396885WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Inna Ialama is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002395415
PECOS Enrollment IDI20260205004052
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Oncology, Radiation)
6811 118TH AVE
KENOSHA, WI 53142
Nurse Practitioner
6811 118TH AVE
KENOSHA, WI 53142
Nurse Practitioner
6811 118TH AVE
KENOSHA, WI 53142
Nurse Practitioner
6811 118TH AVE
KENOSHA, WI 53142
Nurse Practitioner
6811 118TH AVE
KENOSHA, WI 53142
Physician Assistant
6811 118TH AVE, STE. 210
KENOSHA, WI 53142
Internal Medicine (Hematology & Oncology)
6811 118TH AVE
KENOSHA, WI 53142
Radiology (Radiation Oncology)
6811 118TH AVE
KENOSHA, WI 53142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inna Ialama's NPI number?

The NPI number for Inna Ialama is 1043175573. It was assigned to this individual provider in the NPPES registry on December 17, 2025.

Where is Inna Ialama located?

Inna Ialama practices at 6811 118th Ave, Kenosha, WI 53142. The listed phone number is (262) 857-5750.

What is Inna Ialama's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Inna Ialama enrolled in Medicare?

Yes. Inna Ialama is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Inna Ialama affiliated with any hospitals?

According to CMS data, Inna Ialama is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Inna Ialama was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.