ILLUME ANESTHESIA PLLC
NPI 1114625902
Nurse Anesthetist, Certified Registered in Frisco, TX

Q: What is Illume Anesthesia PLLC's NPI number?

The NPI number for Illume Anesthesia PLLC is 1114625902. It was assigned to this organization in the NPPES registry on February 21, 2023.

Q: What is Illume Anesthesia PLLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since February 21, 2023

3140 LEGACY DR STE 210, FRISCO, TX 75034(469) 234-8888 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2026, Feb 21, 2023 (2 updates tracked since 2023).

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About Illume Anesthesia Pllc NPPES

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

ILLUME ANESTHESIA PLLC (NPI 1114625902) is a healthcare organization registered as a nurse anesthetist, certified registered in Frisco, Texas and active in the NPI registry since February 2023. The organization lists Momin Zafarullah, Owner/auth Official, as its authorized official.

NPPES Registry Identity

NPI1114625902

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameILLUME ANESTHESIA PLLC

Location Address3140 LEGACY DR STE 210Frisco, TX 75034-7961

Mailing AddressPo Box 1889Muncie, IN 47308-1889 · (765) 284-0493

Phone(469) 234-8888

Organization SubpartNo

Authorized OfficialMomin ZafarullahOwner/auth Official · (210) 862-4199

Enumeration DateFebruary 21, 2023

Last NPPES UpdateApril 6, 20262 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1114625902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

3140 LEGACY DR STE 210, Frisco, TX 75034

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illume Anesthesia Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 22 clinicians reassign Medicare billing to Illume Anesthesia PLLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.