MR. VICTOR LEE ILOG FNP
NPI 1134628563
Community Health Worker in Las Cruces, NM
About Mr. Victor Lee Ilog Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. VICTOR LEE ILOG FNP (NPI 1134628563) is an individual community health worker in Las Cruces, New Mexico, licensed in New Mexico (G-1916) and active in the NPI registry since February 2018.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Victor Lee Ilog Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Victor Ilog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Texas enrollment
- 1,573 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Victor Ilog's NPI number?
The NPI number for Victor Ilog is 1134628563. It was assigned to this individual provider in the NPPES registry on February 12, 2018.
Where is Victor Ilog located?
Victor Ilog practices at 6202 Alchemy St, Las Cruces, NM 88012. The listed phone number is (575) 520-2824.
What is Victor Ilog's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
Is Victor Ilog enrolled in Medicare?
Yes. Victor Ilog is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Victor Ilog's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Victor Ilog reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Victor Ilog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Victor Ilog was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.