ADVANCED HEART AND VASCULAR CENTER
NPI 1144761404
Internal Medicine - Cardiovascular Disease in Dallas, TX

Active since March 20, 2017
17101 PRESTON RD STE 190S, DALLAS, TX 75248(214) 500-1689 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 14, 2017, Jun 6, 2017 and 1 more (4 updates tracked since 2017).

About Advanced Heart And Vascular Center NPPES

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

ADVANCED HEART AND VASCULAR CENTER (NPI 1144761404) is a healthcare organization registered as a cardiovascular disease in Dallas, Texas and active in the NPI registry since March 2017. The organization lists Annika Sandra Illum, Cardiologist, as its authorized official.

NPPES Registry Identity

NPI1144761404
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSANDRA ILLUM MD PLLC
Location Address17101 PRESTON RD STE 190SDallas, TX 75248-1331
Mailing Address17101 Preston RdDallas, TX 75248-1331 · (214) 377-7576
Organization SubpartNo
Authorized OfficialAnnika Sandra IllumCardiologist · (214) 377-7576
Enumeration DateMarch 20, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1144761404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · P1086
Definition
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.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License P1086 (TX)
17101 PRESTON RD STE 190S, Dallas, TX 75248

Other Names 1

Doing Business AsAdvanced Heart And Vascular Center

Other Identifiers 1

Other00U3Z7TX · Bcbs

Accepted Insurance

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 Sandra Illum MD PLLC's NPI number?

The NPI number for Sandra Illum MD PLLC is 1144761404. It was assigned to this organization in the NPPES registry on March 20, 2017. The provider is doing business as Advanced Heart And Vascular Center.

Where is Sandra Illum MD PLLC located?

Sandra Illum MD PLLC is located at 17101 Preston Rd Ste 190S, Dallas, TX 75248. The listed phone number is (214) 500-1689.

What is Sandra Illum MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

What insurance does Sandra Illum MD PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Sandra Illum MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandra Illum MD PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.